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48a9288e93 |
@@ -1,6 +1,7 @@
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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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+86
-41
@@ -1,5 +1,7 @@
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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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@@ -12,18 +14,21 @@ 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=3.0, read=5.0, write=3.0, pool=3.0),
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limits=httpx.Limits(max_keepalive_connections=5, max_connections=10)
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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 Render cloud database.
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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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import os
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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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@@ -31,51 +36,91 @@ async def forward_vitals_to_api(vitals: NormalizedVitals) -> bool:
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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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primary_url = settings.target_api_url
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primary_success = False
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if primary_url:
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async def _post_target(url: str, label: str) -> bool:
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if not url:
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return False
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curr_port = os.getenv("PORT", "8000")
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if f":{curr_port}" in url and ("localhost" in url or "127.0.0.1" in url):
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return False
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try:
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primary_headers = headers.copy()
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req_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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req_headers["Authorization"] = f"Bearer {settings.api_token}"
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url_to_call = url
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if settings.api_token and "?" not in url and "/api/push-vitals" in url:
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url_to_call = f"{url}?api_key={settings.api_token}"
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response = await client.post(url_to_call, json=payload, headers=req_headers)
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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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primary_success = True
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logger.info(f"Successfully forwarded vitals to {label} ({url}) 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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logger.warning(f"Error forwarding to {label} ({url}): {type(e).__name__} ({err_msg})")
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return False
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# 2. Forward to Render Cloud Server
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render_url = "https://contectfiveparamonitor.onrender.com/api/push-vitals"
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render_success = False
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# Detect if we are already running on Render to prevent an infinite loop
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is_on_render = os.getenv("RENDER") is not None or os.getenv("PORT") == "10000" or "render.local" in os.getenv("HOSTNAME", "")
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if not is_on_render:
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targets = []
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if settings.target_api_url:
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targets.append((settings.target_api_url, "Primary Target API"))
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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 not (is_on_cloud and "onrender.com" in cloud_base):
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cloud_push_url = f"{cloud_base}/api/push-vitals" if not cloud_base.endswith("/api/push-vitals") else cloud_base
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if cloud_push_url not in [t[0] for t in targets]:
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targets.append((cloud_push_url, "Cloud Server"))
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for extra_url in getattr(settings, "forward_urls", []):
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if extra_url and extra_url not in [t[0] for t in targets]:
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targets.append((extra_url, "Configured Forward URL"))
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tasks = [_post_target(url, lbl) for url, lbl in targets]
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results = await asyncio.gather(*tasks, 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 and LAN servers.
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Ensures local and remote dashboards always show the exact same patient.
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"""
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client = get_http_client()
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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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targets = []
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cloud_base = get_cloud_base_url()
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targets.append(f"{cloud_base}/api/patient/assign")
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for extra_url in getattr(settings, "forward_urls", []):
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if "/api/push-vitals" in extra_url:
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assign_url = extra_url.replace("/api/push-vitals", "/api/patient/assign")
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if assign_url not in targets:
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targets.append(assign_url)
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async def _sync_one(url: str) -> bool:
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try:
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url_with_key = render_url
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url_with_key = url
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if settings.api_token:
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url_with_key = f"{render_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 Render Cloud for device {vitals.device_id}")
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render_success = True
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url_with_key = f"{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']} to {url} for {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 Render Cloud: {type(e).__name__} ({err_msg})")
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return primary_success or render_success
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logger.warning(f"Could not sync patient assignment to {url}: {type(e).__name__} ({e})")
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return False
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results = await asyncio.gather(*[_sync_one(u) for u in targets], 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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@@ -79,3 +79,91 @@ async def retry_failed_transmissions():
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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()
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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()
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temp_r = db.query(VitalReading.temperature).filter(patient_filters, VitalReading.temperature != None).order_by(VitalReading.timestamp.desc()).first()
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temp2_r = db.query(VitalReading.temperature2).filter(patient_filters, VitalReading.temperature2 != None).order_by(VitalReading.timestamp.desc()).first()
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temp_diff_r = db.query(VitalReading.temperature_diff).filter(patient_filters, VitalReading.temperature_diff != None).order_by(VitalReading.timestamp.desc()).first()
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rr_r = db.query(VitalReading.respiratory_rate).filter(patient_filters, VitalReading.respiratory_rate != None).order_by(VitalReading.timestamp.desc()).first()
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if hr_r or spo2_r or temp_r or bp_r:
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merged = NormalizedVitals(
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device_id=p.device_id,
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patient_id=p.mrn or p.patient_id,
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patient_name=p.name,
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patient_gender=p.gender,
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patient_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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timestamp=datetime.now(timezone.utc),
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heart_rate=hr_r[0] if hr_r else None,
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spo2=spo2_r[0] if spo2_r else None,
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systolic_bp=bp_r[0] if bp_r else None,
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diastolic_bp=bp_r[1] if bp_r else None,
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map_bp=bp_r[2] if bp_r else None,
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temperature=temp_r[0] if temp_r else None,
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temperature2=temp2_r[0] if temp2_r else None,
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temperature_diff=temp_diff_r[0] if temp_diff_r else None,
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respiratory_rate=rr_r[0] if rr_r else None
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)
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await forward_vitals_to_api(merged)
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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 sync_cloud_state background task: {e}")
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await asyncio.sleep(15)
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+7
-2
@@ -1,13 +1,18 @@
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{
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"hl7_host": "0.0.0.0",
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"hl7_port": 6060,
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"contec_ports": [511, 512, 513, 514, 515, 516, 517, 518, 519, 520, 8001, 8002, 8300, 9000, 9100, 9200, 10008, 12345],
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"contec_ports": [511, 512, 513, 514, 515, 516, 517, 518, 519, 520, 8001, 8002, 8300, 9000, 9100, 9200, 10008, 12345, 61501],
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"monitor_ip": "",
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"monitor_model": "CMS8500",
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"device_models": {
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"192.168.100.120": "CMS7000PLUS"
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},
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"target_api_url": "https://innov-dev.beta.injomo.com/workflow.trigger/69b2712a7866bf86ca0060c3",
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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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"forward_urls": [
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"http://192.168.100.104:10000/api/push-vitals",
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"https://services-api.a2zhealth.in/v1/contec-monitor"
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],
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"api_token": "",
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"retry_interval_seconds": 60,
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"log_file": "hl7_forwarder.log",
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@@ -5,17 +5,23 @@ from pydantic_settings import BaseSettings
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class Settings(BaseSettings):
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hl7_host: str = "0.0.0.0"
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hl7_port: int = 6060
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contec_ports: list = [511, 515, 516, 517, 518, 519, 520]
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contec_ports: list = [511, 515, 516, 517, 518, 519, 520, 61501]
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monitor_ip: str = ""
|
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monitor_model: str = "CMS7000PLUS"
|
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device_models: dict = {}
|
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target_api_url: str = "https://api.example.com/vitals"
|
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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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forward_urls: list = [
|
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"http://192.168.100.104:10000/api/push-vitals",
|
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"https://services-api.a2zhealth.in/v1/contec-monitor"
|
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]
|
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api_token: str = ""
|
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retry_interval_seconds: int = 60
|
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log_file: str = "hl7_forwarder.log"
|
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database_url: str = "sqlite:///./hl7_forwarder.db"
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|
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class Config:
|
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|
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env_file = ".env"
|
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|
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def get_settings() -> Settings:
|
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|
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+44
-54
@@ -58,13 +58,14 @@ CONTEC_PARAM_MAP = {
|
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# Temperature
|
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"TEMP": "temperature",
|
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"TEMP1": "temperature",
|
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"TEMP2": "temperature",
|
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"TEMP2": "temperature2",
|
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"T1": "temperature",
|
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"T2": "temperature",
|
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"T2": "temperature2",
|
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"BODY_TEMP": "temperature",
|
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"TEMP-1": "temperature",
|
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"TEMP-2": "temperature",
|
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"TEMP-2": "temperature2",
|
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"BODYTEMP": "temperature",
|
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"TD": "temperature_diff",
|
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}
|
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|
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# Sentinel value used by Contec to mark an invalid/disconnected parameter
|
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@@ -164,6 +165,10 @@ def parse_contec_hl7_text(raw_text: str, client_ip: str) -> Optional[NormalizedV
|
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if len(fields) > 8 and fields[8]:
|
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vitals_dict["patient_gender"] = fields[8].strip().upper()
|
||||
|
||||
# PID-35: Patient Category (ADULT / PEDIATRIC / NEONATAL)
|
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if len(fields) > 35 and fields[35]:
|
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vitals_dict["patient_type"] = fields[35].strip()
|
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|
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elif seg_name == "PV1":
|
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# PV1-3: Assigned Patient Location (Room^Bed^...)
|
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if len(fields) > 3 and fields[3]:
|
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@@ -173,6 +178,10 @@ def parse_contec_hl7_text(raw_text: str, client_ip: str) -> Optional[NormalizedV
|
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if bed:
|
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vitals_dict["bed_id"] = bed
|
||||
|
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# PV1-18: Patient Type
|
||||
if len(fields) > 18 and fields[18]:
|
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vitals_dict["patient_type"] = fields[18].strip()
|
||||
|
||||
elif seg_name == "OBX":
|
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if len(fields) > 5:
|
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obs_val = fields[5].strip()
|
||||
@@ -278,6 +287,7 @@ def _parse_45_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
||||
if "present_fields" not in vitals_dict:
|
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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)
|
||||
@@ -304,7 +314,7 @@ def _parse_45_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
||||
|
||||
def _parse_56_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
||||
"""
|
||||
Parse 56-byte packet (Subtype 23) — contains float32 Temperature values.
|
||||
Parse 56-byte packet (Subtype 23) — contains float32 Temperature values for T1 and T2.
|
||||
|
||||
Verified layout:
|
||||
[8-11] Temperature 1 (float32)
|
||||
@@ -318,8 +328,6 @@ def _parse_56_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
||||
if "present_fields" not in vitals_dict:
|
||||
vitals_dict["present_fields"] = []
|
||||
|
||||
found = False
|
||||
|
||||
temp1 = read_f32_le(data, 8)
|
||||
temp2 = read_f32_le(data, 12)
|
||||
|
||||
@@ -327,24 +335,24 @@ def _parse_56_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
||||
# 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
|
||||
|
||||
if is_real_temp(temp1):
|
||||
vitals_dict["temperature"] = round(temp1, 1)
|
||||
if "temperature" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("temperature")
|
||||
found = True
|
||||
elif is_real_temp(temp2):
|
||||
vitals_dict["temperature"] = round(temp2, 1)
|
||||
if "temperature" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("temperature")
|
||||
found = True
|
||||
elif temp1 is not None or temp2 is not None:
|
||||
# Sensor disconnected / off
|
||||
vitals_dict["temperature"] = None
|
||||
if "temperature" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("temperature")
|
||||
found = True
|
||||
t1_val = round(temp1, 1) if is_real_temp(temp1) else None
|
||||
t2_val = round(temp2, 1) if is_real_temp(temp2) else None
|
||||
|
||||
return found
|
||||
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:
|
||||
@@ -364,42 +372,26 @@ def _parse_spo2_waveform_packet(data: bytes, vitals_dict: dict) -> bool:
|
||||
if "pleth_wave" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("pleth_wave")
|
||||
|
||||
found = False
|
||||
|
||||
# Check SpO2 at standard offset 264
|
||||
spo2_val = read_u16_le(data, 264)
|
||||
|
||||
# If 264 is disconnected sentinel, probe is NOT connected / off-finger
|
||||
if spo2_val in (None, 65535, 32767, 255, 9999, 0):
|
||||
vitals_dict["spo2"] = None
|
||||
vitals_dict["heart_rate"] = None
|
||||
if "spo2" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("spo2")
|
||||
if "heart_rate" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("heart_rate")
|
||||
return True
|
||||
|
||||
if 50 <= spo2_val <= 100:
|
||||
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")
|
||||
found = True
|
||||
|
||||
# ECG HR is at offset 266 in the 286-byte SpO2 waveform packet footer.
|
||||
# Offset 268 is the SpO2 HIGH ALARM LIMIT (always 100) — NOT pulse rate!
|
||||
# So we read ECG HR at 266 only.
|
||||
# Pulse Rate / ECG HR is at offset 266 in the footer
|
||||
ecg_hr = read_u16_le(data, 266)
|
||||
|
||||
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'}"
|
||||
)
|
||||
|
||||
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")
|
||||
|
||||
return found
|
||||
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:
|
||||
@@ -435,13 +427,13 @@ def _parse_989_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
||||
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, 9999, 0) and 20 <= hr_val <= 300:
|
||||
# Only use ECG HR if SpO2-probe PR has NOT already set heart_rate.
|
||||
# SpO2 PR (from the pleth packet) matches the monitor display and wins.
|
||||
if "heart_rate" not in vitals_dict.get("present_fields", []):
|
||||
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)
|
||||
vitals_dict.setdefault("present_fields", []).append("heart_rate")
|
||||
if "heart_rate" not in vitals_dict.setdefault("present_fields", []):
|
||||
vitals_dict["present_fields"].append("heart_rate")
|
||||
|
||||
return True
|
||||
|
||||
@@ -479,9 +471,7 @@ def _find_vitals_block_in_stream(data: bytes, client_ip: str) -> Optional[Normal
|
||||
elif pkt_len == 989:
|
||||
if _parse_989_byte_packet(pkt_data, vitals_dict):
|
||||
found_any = True
|
||||
elif 100 < pkt_len < 600:
|
||||
if _parse_spo2_waveform_packet(pkt_data, vitals_dict):
|
||||
found_any = True
|
||||
# Handled specifically by known packet sizes above
|
||||
|
||||
i += max(pkt_len, 4)
|
||||
else:
|
||||
|
||||
+120
-31
@@ -58,25 +58,58 @@ TELEMETRY_WORDS = {
|
||||
}
|
||||
|
||||
|
||||
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 CMS8500 / CMS7000 binary packets.
|
||||
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 = []
|
||||
for m in re.finditer(rb'[a-zA-Z0-9_\-\.]{2,}', data):
|
||||
# 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 any(kw in s_lower for kw in TELEMETRY_WORDS):
|
||||
if is_telemetry_word(s_lower):
|
||||
continue
|
||||
if len(set(s)) == 1:
|
||||
continue
|
||||
if set(s).issubset({'.', '-', '_', '/', '\\'}):
|
||||
continue
|
||||
if len(s) > 8 and re.match(r'^[A-Za-z]+$', s):
|
||||
if len(s) > 6 and re.match(r'^[A-Za-z0-9]+$', 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
|
||||
@@ -84,7 +117,7 @@ def extract_demographics_from_packet(data: bytes, client_ip: str) -> dict:
|
||||
continue
|
||||
clean.append(s)
|
||||
|
||||
if not clean:
|
||||
if not clean and not patient_type:
|
||||
return None
|
||||
|
||||
name = None
|
||||
@@ -95,9 +128,8 @@ def extract_demographics_from_packet(data: bytes, client_ip: str) -> dict:
|
||||
for s in clean:
|
||||
s_up = s.upper()
|
||||
s_low = s.lower()
|
||||
if s_low in TELEMETRY_WORDS:
|
||||
continue
|
||||
|
||||
# Check gender first
|
||||
if s_up in ('MALE', 'FEMALE') and not gender:
|
||||
gender = 'Male' if s_up == 'MALE' else 'Female'
|
||||
continue
|
||||
@@ -105,52 +137,75 @@ def extract_demographics_from_packet(data: bytes, client_ip: str) -> dict:
|
||||
gender = 'Male' if s_up == 'M' else 'Female'
|
||||
continue
|
||||
|
||||
# Date of birth: 4-digit birth year between 1920 and 2024, or YYYY-MM-DD
|
||||
if re.match(r'^(19\d\d|20[01]\d|202[0-4])$', s) and not dob:
|
||||
if is_telemetry_word(s_low):
|
||||
continue
|
||||
|
||||
# Date of birth: 4-digit birth year between 1920 and 2026, or YYYY-MM-DD
|
||||
if re.match(r'^(19\d\d|20[01]\d|202[0-6])$', s) and not dob:
|
||||
dob = s
|
||||
continue
|
||||
elif re.match(r'^\d{4}[-/]\d{2}[-/]\d{2}$', s) and not dob:
|
||||
dob = s
|
||||
continue
|
||||
|
||||
# Name candidate: strictly at least 3 letters, has a vowel, not telemetry
|
||||
if re.search(r'^[A-Za-z\s\.\-]{3,30}$', s) and re.search(r'[aeiouyAEIOUY]', s) and not name:
|
||||
if s_low not in TELEMETRY_WORDS:
|
||||
# Name candidate: contains letters and a vowel, length between 3 and 40
|
||||
if re.search(r'^[A-Za-z\s\.\-]{3,40}$', s) and re.search(r'[aeiouyAEIOUY]', s) and not name:
|
||||
if not is_telemetry_word(s_low):
|
||||
name = s
|
||||
continue
|
||||
|
||||
# MRN candidate: numeric or alphanumeric ID, at least 2 chars, not a year, not telemetry
|
||||
if not mrn and re.match(r'^[A-Za-z0-9\-]{2,15}$', s) and s_low not in TELEMETRY_WORDS:
|
||||
# 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
|
||||
|
||||
# Only accept when BOTH real name and real MRN/DOB are present together
|
||||
if name and (mrn or dob):
|
||||
# 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": name,
|
||||
"mrn": mrn or name,
|
||||
"patient_id": mrn or name,
|
||||
"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 current.get("name") == name and current.get("mrn") == mrn and current.get("dob") == dob and current.get("gender") == gender:
|
||||
# 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
|
||||
|
||||
logger.info(f"*** REAL PATIENT DEMOGRAPHICS DETECTED FROM MACHINE ({client_ip}): Name={name}, MRN={mrn}, DOB={dob}, Gender={gender} ***")
|
||||
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 = {
|
||||
@@ -159,7 +214,8 @@ async def apply_auto_demographics(client_ip: str, demo: dict):
|
||||
"name": name,
|
||||
"gender": gender,
|
||||
"dob": dob,
|
||||
"bed_id": bed_id
|
||||
"bed_id": bed_id,
|
||||
"patient_type": patient_type or current.get("patient_type"),
|
||||
}
|
||||
device_patient_map[device_id] = p_data
|
||||
|
||||
@@ -218,11 +274,15 @@ async def apply_auto_demographics(client_ip: str, demo: dict):
|
||||
"gender": gender,
|
||||
"patient_dob": dob,
|
||||
"dob": dob,
|
||||
"bed_id": bed_id
|
||||
"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):
|
||||
"""
|
||||
@@ -251,8 +311,13 @@ async def handle_contec_client(reader: asyncio.StreamReader, writer: asyncio.Str
|
||||
logger.info(f"Contec client {client_ip}:{client_port} on port {port} sent EOF (0 bytes)")
|
||||
break
|
||||
|
||||
if client_ip != "127.0.0.1":
|
||||
logger.info(f"TCP READ from {client_ip}: {len(data)} bytes, hex: {data[:24].hex()}")
|
||||
# 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
|
||||
|
||||
@@ -376,6 +441,7 @@ def get_assigned_patient(device_id: str):
|
||||
"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
|
||||
@@ -396,6 +462,7 @@ def set_assigned_patient(device_id: str, patient_data: dict):
|
||||
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):
|
||||
@@ -416,6 +483,7 @@ async def process_vitals(vitals):
|
||||
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] = {
|
||||
@@ -425,6 +493,7 @@ async def process_vitals(vitals):
|
||||
"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
|
||||
@@ -453,21 +522,22 @@ async def process_vitals(vitals):
|
||||
if value is not None:
|
||||
active_fields.append(field)
|
||||
|
||||
# Update cache & record timestamps
|
||||
# Update cache & record timestamps for present values
|
||||
for field in active_fields:
|
||||
val = getattr(vitals, field, None)
|
||||
setattr(cached, field, val)
|
||||
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 60-second window because monitor cycles take ~24s
|
||||
# NIBP (BP, MAP) has a 1-hour window because it is measured intermittently
|
||||
# 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 = 3600.0 if field in ("systolic_bp", "diastolic_bp", "map_bp") else 60.0
|
||||
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)
|
||||
@@ -506,6 +576,7 @@ async def process_vitals(vitals):
|
||||
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}")
|
||||
@@ -569,6 +640,7 @@ async def _persist_and_forward_bg(vitals, should_persist):
|
||||
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)
|
||||
@@ -584,12 +656,27 @@ async def _persist_and_forward_bg(vitals, should_persist):
|
||||
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,
|
||||
patient_id=vitals.patient_id or (patient.mrn if patient else "UNKNOWN"),
|
||||
timestamp=vitals.timestamp,
|
||||
heart_rate=vitals.heart_rate,
|
||||
spo2=vitals.spo2,
|
||||
@@ -598,6 +685,8 @@ async def _persist_and_forward_bg(vitals, should_persist):
|
||||
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)
|
||||
|
||||
+3
-1
@@ -3,9 +3,11 @@ 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={"check_same_thread": False},
|
||||
connect_args=connect_args,
|
||||
poolclass=NullPool
|
||||
)
|
||||
SessionLocal = sessionmaker(autocommit=False, autoflush=False, bind=engine)
|
||||
|
||||
@@ -1,17 +0,0 @@
|
||||
__pycache__/
|
||||
*.py[cod]
|
||||
*.db
|
||||
*.sqlite3
|
||||
*.log
|
||||
*.bin
|
||||
.env
|
||||
venv/
|
||||
.venv/
|
||||
build/
|
||||
dist/
|
||||
*.spec
|
||||
scratch/
|
||||
captures/
|
||||
.git/
|
||||
.idea/
|
||||
.vscode/
|
||||
@@ -1,37 +0,0 @@
|
||||
# Byte-compiled / optimized / DLL files
|
||||
__pycache__/
|
||||
*.py[cod]
|
||||
*$py.class
|
||||
|
||||
# PyInstaller
|
||||
build/
|
||||
dist/
|
||||
*.spec
|
||||
|
||||
# Databases
|
||||
*.db
|
||||
*.sqlite3
|
||||
|
||||
# Logs
|
||||
*.log
|
||||
|
||||
# Environments
|
||||
.env
|
||||
.venv
|
||||
env/
|
||||
venv/
|
||||
ENV/
|
||||
env.bak/
|
||||
venv.bak/
|
||||
|
||||
# Scratch / debug
|
||||
scratch/
|
||||
captures/
|
||||
*.bin
|
||||
|
||||
# IDE / OS
|
||||
.idea/
|
||||
.vscode/
|
||||
*.swp
|
||||
*.swo
|
||||
.DS_Store
|
||||
@@ -1,15 +0,0 @@
|
||||
FROM python:3.12-slim
|
||||
|
||||
WORKDIR /app
|
||||
|
||||
# Install dependencies
|
||||
COPY requirements.txt .
|
||||
RUN pip install --no-cache-dir -r requirements.txt
|
||||
|
||||
# Copy application code
|
||||
COPY . .
|
||||
|
||||
# Render sets PORT env var (default 10000)
|
||||
EXPOSE 10000
|
||||
|
||||
CMD uvicorn main:app --host 0.0.0.0 --port ${PORT:-10000}
|
||||
@@ -1 +0,0 @@
|
||||
web: python3 -m uvicorn main:app --host 0.0.0.0 --port $PORT
|
||||
@@ -1,63 +0,0 @@
|
||||
import httpx
|
||||
import logging
|
||||
from typing import Optional
|
||||
from schemas import NormalizedVitals
|
||||
from config import settings
|
||||
|
||||
logger = logging.getLogger(__name__)
|
||||
|
||||
async def forward_vitals_to_api(vitals: NormalizedVitals) -> bool:
|
||||
"""
|
||||
Attempts to POST the normalized vitals to the configured target API
|
||||
and to the Render cloud database.
|
||||
Returns True if at least one forward succeeds.
|
||||
"""
|
||||
import os
|
||||
headers = {"Content-Type": "application/json"}
|
||||
|
||||
# 1. Forward to primary target API (e.g. Injomo Dev Workflow)
|
||||
primary_url = settings.target_api_url
|
||||
primary_success = False
|
||||
if primary_url:
|
||||
try:
|
||||
primary_headers = headers.copy()
|
||||
if settings.api_token:
|
||||
primary_headers["Authorization"] = f"Bearer {settings.api_token}"
|
||||
async with httpx.AsyncClient(timeout=10.0) as client:
|
||||
response = await client.post(
|
||||
primary_url,
|
||||
json=vitals.model_dump(mode="json"),
|
||||
headers=primary_headers
|
||||
)
|
||||
response.raise_for_status()
|
||||
logger.info(f"Successfully forwarded vitals to primary API for device {vitals.device_id}")
|
||||
primary_success = True
|
||||
except Exception as e:
|
||||
logger.error(f"Error forwarding to primary API: {e}")
|
||||
|
||||
# 2. Forward to Render Cloud Server
|
||||
render_url = "https://contectfiveparamonitor.onrender.com/api/push-vitals"
|
||||
render_success = False
|
||||
|
||||
# Detect if we are already running on Render to prevent an infinite loop
|
||||
is_on_render = os.getenv("RENDER") is not None or os.getenv("PORT") == "10000" or "render.local" in os.getenv("HOSTNAME", "")
|
||||
|
||||
if not is_on_render:
|
||||
try:
|
||||
url_with_key = render_url
|
||||
if settings.api_token:
|
||||
url_with_key = f"{render_url}?api_key={settings.api_token}"
|
||||
|
||||
async with httpx.AsyncClient(timeout=10.0) as client:
|
||||
response = await client.post(
|
||||
url_with_key,
|
||||
json=vitals.model_dump(mode="json"),
|
||||
headers=headers
|
||||
)
|
||||
response.raise_for_status()
|
||||
logger.info(f"Successfully forwarded vitals to Render Cloud for device {vitals.device_id}")
|
||||
render_success = True
|
||||
except Exception as e:
|
||||
logger.error(f"Error forwarding to Render Cloud: {e}")
|
||||
|
||||
return primary_success or render_success
|
||||
@@ -1,67 +0,0 @@
|
||||
import asyncio
|
||||
import logging
|
||||
from database import SessionLocal
|
||||
from models import VitalReading, TransmissionLog
|
||||
from schemas import NormalizedVitals
|
||||
from api_client import forward_vitals_to_api
|
||||
from config import settings
|
||||
|
||||
logger = logging.getLogger(__name__)
|
||||
|
||||
async def retry_failed_transmissions():
|
||||
"""
|
||||
Background task that periodically checks for untransmitted vital readings
|
||||
and attempts to forward them to the API.
|
||||
"""
|
||||
logger.info("Starting background task for retrying failed transmissions...")
|
||||
|
||||
while True:
|
||||
try:
|
||||
db = SessionLocal()
|
||||
try:
|
||||
# Get readings that haven't been transmitted
|
||||
failed_readings = db.query(VitalReading).filter(VitalReading.transmitted == False).limit(50).all()
|
||||
|
||||
for reading in failed_readings:
|
||||
vitals = NormalizedVitals(
|
||||
device_id=reading.device_id,
|
||||
patient_id=reading.patient_id,
|
||||
timestamp=reading.timestamp,
|
||||
heart_rate=reading.heart_rate,
|
||||
spo2=reading.spo2,
|
||||
systolic_bp=reading.systolic_bp,
|
||||
diastolic_bp=reading.diastolic_bp,
|
||||
map_bp=reading.map_bp,
|
||||
respiratory_rate=reading.respiratory_rate,
|
||||
temperature=reading.temperature
|
||||
)
|
||||
|
||||
success = await forward_vitals_to_api(vitals)
|
||||
|
||||
if success:
|
||||
reading.transmitted = True
|
||||
log_entry = TransmissionLog(
|
||||
reading_id=reading.id,
|
||||
status="success",
|
||||
response_code=200
|
||||
)
|
||||
db.add(log_entry)
|
||||
logger.info(f"Successfully re-transmitted reading {reading.id}")
|
||||
else:
|
||||
# Log the failure but don't mark as transmitted
|
||||
log_entry = TransmissionLog(
|
||||
reading_id=reading.id,
|
||||
status="failed",
|
||||
error_message="Retry failed"
|
||||
)
|
||||
db.add(log_entry)
|
||||
|
||||
if failed_readings:
|
||||
db.commit()
|
||||
finally:
|
||||
db.close()
|
||||
|
||||
except Exception as e:
|
||||
logger.error(f"Error in retry background task: {e}")
|
||||
|
||||
await asyncio.sleep(settings.retry_interval_seconds)
|
||||
@@ -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."
|
||||
@@ -1,15 +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://innov-dev.beta.injomo.com/workflow.trigger/69b2712a7866bf86ca0060c3",
|
||||
"api_token": "",
|
||||
"retry_interval_seconds": 60,
|
||||
"log_file": "hl7_forwarder.log",
|
||||
"database_url": "sqlite:///./hl7_forwarder.db"
|
||||
}
|
||||
@@ -1,45 +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://api.example.com/vitals"
|
||||
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.")
|
||||
@@ -1,605 +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": "temperature",
|
||||
"T1": "temperature",
|
||||
"T2": "temperature",
|
||||
"BODY_TEMP": "temperature",
|
||||
"TEMP-1": "temperature",
|
||||
"TEMP-2": "temperature",
|
||||
"BODYTEMP": "temperature",
|
||||
}
|
||||
|
||||
# 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()
|
||||
|
||||
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
|
||||
|
||||
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: prefer ECG HR; fall back to SpO2-derived PR if ECG invalid
|
||||
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-byte packet (Subtype 22) — contains NIBP values and alarm limits.
|
||||
|
||||
Verified layout:
|
||||
[0-1] Packet length LE u16 = 45
|
||||
[2-3] Marker: 01 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, 9999 = no measurement)
|
||||
[17-18] NIBP Diastolic (LE u16, 9999 = no measurement)
|
||||
[19-20] NIBP MAP (LE u16, 9999 = no measurement)
|
||||
"""
|
||||
if len(data) < 22:
|
||||
return False
|
||||
|
||||
if "present_fields" not in vitals_dict:
|
||||
vitals_dict["present_fields"] = []
|
||||
|
||||
nibp_sys = read_u16_le(data, 15)
|
||||
nibp_dia = read_u16_le(data, 17)
|
||||
nibp_map = read_u16_le(data, 19)
|
||||
|
||||
found = False
|
||||
|
||||
# Mark NIBP fields as present so cache can clear them if 9999
|
||||
for f in ["systolic_bp", "diastolic_bp", "map_bp"]:
|
||||
if f not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append(f)
|
||||
|
||||
if nibp_sys is not None and nibp_sys != 9999 and 40 < nibp_sys < 250:
|
||||
vitals_dict["systolic_bp"] = float(nibp_sys)
|
||||
found = True
|
||||
else:
|
||||
vitals_dict["systolic_bp"] = None
|
||||
|
||||
if nibp_dia is not None and nibp_dia != 9999 and 20 < nibp_dia < 200:
|
||||
vitals_dict["diastolic_bp"] = float(nibp_dia)
|
||||
found = True
|
||||
else:
|
||||
vitals_dict["diastolic_bp"] = None
|
||||
|
||||
if nibp_map is not None and nibp_map != 9999 and 20 < nibp_map < 250:
|
||||
vitals_dict["map_bp"] = float(nibp_map)
|
||||
found = True
|
||||
else:
|
||||
vitals_dict["map_bp"] = None
|
||||
|
||||
return found
|
||||
|
||||
|
||||
def _parse_56_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
||||
"""
|
||||
Parse 56-byte packet (Subtype 23) — contains float32 Temperature values.
|
||||
|
||||
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"] = []
|
||||
if "temperature" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("temperature")
|
||||
vitals_dict.setdefault("temperature", None)
|
||||
|
||||
found = False
|
||||
|
||||
temp1 = read_f32_le(data, 8)
|
||||
temp2 = read_f32_le(data, 12)
|
||||
|
||||
# 9999.0 is sentinel
|
||||
if temp1 is not None and is_valid_f32(temp1) and 10.0 < temp1 < 50.0:
|
||||
vitals_dict["temperature"] = round(temp1, 1)
|
||||
found = True
|
||||
elif temp2 is not None and is_valid_f32(temp2) and 10.0 < temp2 < 50.0:
|
||||
vitals_dict["temperature"] = round(temp2, 1)
|
||||
found = True
|
||||
|
||||
return found
|
||||
|
||||
|
||||
def _parse_286_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
||||
"""
|
||||
Parse 286-byte waveform packet (Subtype 21).
|
||||
|
||||
Verified layout:
|
||||
[8..263] Pleth waveform samples (8-bit unsigned, 256 samples)
|
||||
[264-265] SpO2% (LE u16) — live oxygen saturation percentage
|
||||
255 / 65535 = sensor disconnected
|
||||
[266-267] ECG HR via SpO2 PR (LE u16) — 9999 / 65535 = not available
|
||||
"""
|
||||
if len(data) < 270:
|
||||
return False
|
||||
|
||||
if "present_fields" not in vitals_dict:
|
||||
vitals_dict["present_fields"] = []
|
||||
if "spo2" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("spo2")
|
||||
if "pleth_wave" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("pleth_wave")
|
||||
vitals_dict.setdefault("spo2", None)
|
||||
|
||||
found = False
|
||||
|
||||
# Extract Pleth waveform samples (bytes 8..263)
|
||||
raw_pleth = list(data[8:264])
|
||||
# Only store if not all-zeroes or all-sentinel (flatline = disconnected)
|
||||
if any(v not in (0x00, 0x7F, 0x3A, 0x92, 0xFF) for v in raw_pleth[:10]):
|
||||
vitals_dict["pleth_wave"] = raw_pleth
|
||||
else:
|
||||
vitals_dict["pleth_wave"] = raw_pleth # Always send so frontend can show flatline too
|
||||
|
||||
# Offset 264: SpO2 percentage
|
||||
spo2_val = read_u16_le(data, 264)
|
||||
if spo2_val is not None and spo2_val != 65535 and spo2_val != 255 and 50 <= spo2_val <= 100:
|
||||
vitals_dict["spo2"] = float(spo2_val)
|
||||
found = True
|
||||
|
||||
# Offset 266: HR from SpO2 PR (only add to present fields if valid to prevent overriding ECG HR)
|
||||
hr_val = read_u16_le(data, 266)
|
||||
if hr_val is not None and hr_val != 65535 and hr_val != 9999 and 20 <= hr_val <= 300:
|
||||
vitals_dict["heart_rate"] = float(hr_val)
|
||||
if "heart_rate" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("heart_rate")
|
||||
found = True
|
||||
|
||||
return found
|
||||
|
||||
|
||||
def _parse_288_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
||||
"""
|
||||
Parse 288-byte waveform packet (Subtype 21 for CMS8500).
|
||||
|
||||
Layout:
|
||||
[8..263] Pleth waveform samples (8-bit unsigned, 256 samples)
|
||||
[264-265] SpO2% (LE u16) — live oxygen saturation percentage
|
||||
[266-267] PR (LE u16) — pulse rate
|
||||
"""
|
||||
if len(data) < 270:
|
||||
return False
|
||||
|
||||
if "present_fields" not in vitals_dict:
|
||||
vitals_dict["present_fields"] = []
|
||||
if "spo2" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("spo2")
|
||||
if "pleth_wave" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("pleth_wave")
|
||||
vitals_dict.setdefault("spo2", None)
|
||||
|
||||
found = False
|
||||
|
||||
# Extract Pleth waveform samples (bytes 8..263)
|
||||
vitals_dict["pleth_wave"] = list(data[8:264])
|
||||
|
||||
# Offset 264: SpO2 percentage
|
||||
spo2_val = read_u16_le(data, 264)
|
||||
if spo2_val is not None and spo2_val != 65535 and spo2_val != 255 and 50 <= spo2_val <= 100:
|
||||
vitals_dict["spo2"] = float(spo2_val)
|
||||
found = True
|
||||
|
||||
# Offset 266: PR from SpO2 PR
|
||||
hr_val = read_u16_le(data, 266)
|
||||
if hr_val is not None and hr_val != 65535 and hr_val != 9999 and 20 <= hr_val <= 300:
|
||||
vitals_dict["heart_rate"] = float(hr_val)
|
||||
if "heart_rate" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("heart_rate")
|
||||
found = True
|
||||
|
||||
return found
|
||||
|
||||
|
||||
def _parse_341_byte_packet(data: bytes, vitals_dict: dict) -> bool:
|
||||
"""
|
||||
Parse 341-byte waveform packet. Same tail layout as 286-byte.
|
||||
"""
|
||||
if len(data) < 270:
|
||||
return False
|
||||
|
||||
if "present_fields" not in vitals_dict:
|
||||
vitals_dict["present_fields"] = []
|
||||
if "spo2" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("spo2")
|
||||
vitals_dict.setdefault("spo2", None)
|
||||
|
||||
found = False
|
||||
|
||||
spo2_val = read_u16_le(data, 264)
|
||||
if spo2_val is not None and spo2_val != 65535 and spo2_val != 255 and 50 <= spo2_val <= 100:
|
||||
vitals_dict["spo2"] = float(spo2_val)
|
||||
found = True
|
||||
|
||||
hr_val = read_u16_le(data, 266)
|
||||
if hr_val is not None and hr_val != 65535 and hr_val != 9999 and 20 <= hr_val <= 300:
|
||||
vitals_dict["heart_rate"] = float(hr_val)
|
||||
if "heart_rate" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("heart_rate")
|
||||
found = True
|
||||
|
||||
return found
|
||||
|
||||
|
||||
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"] = []
|
||||
if "heart_rate" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("heart_rate")
|
||||
if "ecg_wave" not in vitals_dict["present_fields"]:
|
||||
vitals_dict["present_fields"].append("ecg_wave")
|
||||
vitals_dict.setdefault("heart_rate", None)
|
||||
|
||||
found = False
|
||||
|
||||
# Extract ECG waveform samples (bytes 8..903), downsample to 200 points for efficiency
|
||||
raw_ecg = list(data[8:904])
|
||||
# Downsample by factor of 4 -> ~224 points (still high-resolution enough)
|
||||
vitals_dict["ecg_wave"] = raw_ecg[::4]
|
||||
|
||||
hr_val = read_u16_le(data, 904)
|
||||
if hr_val is not None and hr_val != 65535 and hr_val != 9999 and 20 <= hr_val <= 300:
|
||||
vitals_dict["heart_rate"] = float(hr_val)
|
||||
found = True
|
||||
|
||||
return found
|
||||
|
||||
|
||||
def _find_vitals_block_in_stream(data: bytes, client_ip: str) -> Optional[NormalizedVitals]:
|
||||
"""
|
||||
Scan the data stream for Contec CMS7000PLUS sub-packets and parse them
|
||||
deterministically based on packet length.
|
||||
|
||||
Packet types (verified by raw hex analysis):
|
||||
45 bytes (Subtype 22): NIBP Sys/Dia/MAP (u16 LE starting at offset 15)
|
||||
56 bytes (Subtype 23): Float32 Temperature (offset 8/12)
|
||||
286 bytes (Subtype 21): SpO2% at offset 264
|
||||
341 bytes (Subtype 21): SpO2% at offset 264
|
||||
989 bytes (Subtype 20): ECG Heart Rate at offset 904
|
||||
"""
|
||||
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):
|
||||
_parse_45_byte_packet(pkt_data, vitals_dict)
|
||||
found_any = True
|
||||
elif pkt_len == 56:
|
||||
_parse_56_byte_packet(pkt_data, vitals_dict)
|
||||
found_any = True
|
||||
elif pkt_len == 286:
|
||||
_parse_286_byte_packet(pkt_data, vitals_dict)
|
||||
found_any = True
|
||||
elif pkt_len == 288:
|
||||
_parse_288_byte_packet(pkt_data, vitals_dict)
|
||||
found_any = True
|
||||
elif pkt_len == 341:
|
||||
_parse_341_byte_packet(pkt_data, vitals_dict)
|
||||
found_any = True
|
||||
elif pkt_len == 989:
|
||||
_parse_989_byte_packet(pkt_data, vitals_dict)
|
||||
found_any = True
|
||||
|
||||
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
|
||||
@@ -1,356 +0,0 @@
|
||||
import asyncio
|
||||
import logging
|
||||
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}|{now_str}||ACK^R01|{msg_control_id}|P|2.3.1\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 ""
|
||||
|
||||
|
||||
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}")
|
||||
|
||||
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
|
||||
|
||||
buffer += data
|
||||
logger.debug(f"Received {len(data)} bytes from {client_ip}:{client_port} on port {port} (buf={len(buffer)})")
|
||||
|
||||
# ---------------------------------------------------------------
|
||||
# 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 = {}
|
||||
|
||||
|
||||
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 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 field in active_fields:
|
||||
val = getattr(vitals, field)
|
||||
setattr(cached, field, val)
|
||||
device_field_timestamps[device_id][field] = now
|
||||
|
||||
# Clean up stale fields (older than 15 seconds)
|
||||
for field in list(device_field_timestamps[device_id].keys()):
|
||||
last_updated = device_field_timestamps[device_id][field]
|
||||
if (now - last_updated).total_seconds() > 15.0:
|
||||
setattr(cached, field, None)
|
||||
device_field_timestamps[device_id].pop(field, None)
|
||||
|
||||
cached.timestamp = vitals.timestamp
|
||||
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}: "
|
||||
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()
|
||||
await ws_manager.broadcast_vitals(vitals.model_dump(mode="json"))
|
||||
except Exception as e:
|
||||
logger.debug(f"WebSocket broadcast failed: {e}")
|
||||
|
||||
# 4. Throttled Database & REST forwarding (at most once every 5 seconds)
|
||||
# Note: If we have fresh waveforms, we bypass throttle for REST forwarding to keep cloud graphs real-time
|
||||
now = datetime.now(timezone.utc)
|
||||
should_write_db = False
|
||||
if device_id not in last_db_write or (now - last_db_write[device_id]).total_seconds() >= 5.0:
|
||||
should_write_db = True
|
||||
last_db_write[device_id] = now
|
||||
|
||||
if should_write_db:
|
||||
# Save to SQLite database and REST forward
|
||||
db = SessionLocal()
|
||||
try:
|
||||
# 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 "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)
|
||||
|
||||
# 2. Patient tracking — store/update demographics from HL7
|
||||
if vitals.patient_id == "UNKNOWN":
|
||||
last_known_reading = (
|
||||
db.query(VitalReading)
|
||||
.filter(VitalReading.device_id == vitals.device_id)
|
||||
.filter(VitalReading.patient_id != "UNKNOWN")
|
||||
.order_by(VitalReading.timestamp.desc())
|
||||
.first()
|
||||
)
|
||||
if last_known_reading:
|
||||
vitals.patient_id = last_known_reading.patient_id
|
||||
|
||||
patient = db.query(Patient).filter(Patient.patient_id == vitals.patient_id).first()
|
||||
if not patient:
|
||||
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,
|
||||
)
|
||||
db.add(patient)
|
||||
else:
|
||||
# Refresh demographics whenever monitor sends updated PID fields
|
||||
if vitals.patient_name:
|
||||
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
|
||||
|
||||
|
||||
# 3. Create Reading Entry
|
||||
reading = VitalReading(
|
||||
device_id=vitals.device_id,
|
||||
patient_id=vitals.patient_id,
|
||||
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,
|
||||
transmitted=False
|
||||
)
|
||||
db.add(reading)
|
||||
db.commit()
|
||||
db.refresh(reading)
|
||||
|
||||
# 4. REST forwarding
|
||||
success = await forward_vitals_to_api(vitals)
|
||||
|
||||
if success:
|
||||
reading.transmitted = True
|
||||
log_entry = TransmissionLog(
|
||||
reading_id=reading.id,
|
||||
status="success",
|
||||
response_code=200
|
||||
)
|
||||
else:
|
||||
log_entry = TransmissionLog(
|
||||
reading_id=reading.id,
|
||||
status="failed",
|
||||
error_message="Immediate REST forward failed"
|
||||
)
|
||||
|
||||
db.add(log_entry)
|
||||
db.commit()
|
||||
|
||||
except Exception as e:
|
||||
logger.error(f"Database operation failed: {e}")
|
||||
db.rollback()
|
||||
finally:
|
||||
db.close()
|
||||
elif has_fresh_waveforms:
|
||||
# Bypass throttle for REST forwarding to keep cloud graphs real-time
|
||||
try:
|
||||
await forward_vitals_to_api(vitals)
|
||||
except Exception as e:
|
||||
logger.error(f"Real-time REST forwarding failed: {e}")
|
||||
|
||||
# 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
|
||||
@@ -1,17 +0,0 @@
|
||||
from sqlalchemy import create_engine
|
||||
from sqlalchemy.orm import sessionmaker, declarative_base
|
||||
from config import settings
|
||||
|
||||
engine = create_engine(
|
||||
settings.database_url, connect_args={"check_same_thread": False}
|
||||
)
|
||||
SessionLocal = sessionmaker(autocommit=False, autoflush=False, bind=engine)
|
||||
|
||||
Base = declarative_base()
|
||||
|
||||
def get_db():
|
||||
db = SessionLocal()
|
||||
try:
|
||||
yield db
|
||||
finally:
|
||||
db.close()
|
||||
@@ -1,189 +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
|
||||
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):
|
||||
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}/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" 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 the background retry task
|
||||
retry_task = asyncio.create_task(retry_failed_transmissions())
|
||||
|
||||
yield
|
||||
|
||||
# Shutdown
|
||||
logger.info("Shutting down servers...")
|
||||
retry_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
|
||||
app.include_router(dashboard.router, prefix="/api")
|
||||
|
||||
# Serve static folder
|
||||
from fastapi.staticfiles import StaticFiles
|
||||
app.mount("/static", StaticFiles(directory="static"), name="static")
|
||||
|
||||
|
||||
# === WebSocket endpoint for live vitals ===
|
||||
@app.websocket("/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)
|
||||
@@ -1,45 +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
|
||||
|
||||
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)
|
||||
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))
|
||||
@@ -1,15 +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: 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
|
||||
@@ -1,21 +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
|
||||
@@ -1,45 +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
|
||||
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
|
||||
|
||||
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
|
||||
@@ -1,50 +0,0 @@
|
||||
#!/bin/bash
|
||||
|
||||
# Exit on error
|
||||
set -e
|
||||
|
||||
SERVICE_NAME="contec-forwarder"
|
||||
SERVICE_FILE="/etc/systemd/system/${SERVICE_NAME}.service"
|
||||
WORKING_DIR="/home/prathiyuman/Prathiyuman/ContecMonitor/fiveparaminte-main"
|
||||
PYTHON_EXEC="${WORKING_DIR}/venv/bin/python"
|
||||
SCRIPT_PATH="${WORKING_DIR}/main.py"
|
||||
|
||||
echo "=== Creating systemd 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
|
||||
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 "=== Starting ${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 "To check live service logs, run:"
|
||||
echo " sudo journalctl -u contec-forwarder -f"
|
||||
echo "=========================================================="
|
||||
@@ -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
|
||||
@@ -11,7 +11,7 @@ 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
|
||||
from background_tasks import retry_failed_transmissions, sync_cloud_state
|
||||
from routers import dashboard
|
||||
from routers.dashboard import get_ws_manager
|
||||
|
||||
@@ -62,6 +62,22 @@ def _get_local_ips():
|
||||
|
||||
@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 ===
|
||||
@@ -111,6 +127,7 @@ async def lifespan(app: FastAPI):
|
||||
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):")
|
||||
@@ -122,8 +139,9 @@ async def lifespan(app: FastAPI):
|
||||
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 the background retry task
|
||||
# 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
|
||||
@@ -154,6 +172,7 @@ async def lifespan(app: FastAPI):
|
||||
except Exception:
|
||||
pass
|
||||
retry_task.cancel()
|
||||
cloud_sync_task.cancel()
|
||||
for server in servers:
|
||||
server.close()
|
||||
for server in servers:
|
||||
@@ -178,23 +197,42 @@ app.add_middleware(
|
||||
allow_headers=["*"],
|
||||
)
|
||||
|
||||
# Include dashboard routes
|
||||
# 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 at root and /dashboard directly for convenience
|
||||
# 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)
|
||||
|
||||
@@ -18,8 +18,9 @@ class Patient(Base):
|
||||
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
|
||||
device_id = Column(String, nullable=True, index=True) # assigned machine / device_id
|
||||
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"
|
||||
@@ -34,6 +35,8 @@ class VitalReading(Base):
|
||||
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):
|
||||
|
||||
@@ -5,6 +5,8 @@ services:
|
||||
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
|
||||
|
||||
+262
-34
@@ -11,6 +11,7 @@ from fastapi import APIRouter, Depends, HTTPException, WebSocket, WebSocketDisco
|
||||
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
|
||||
|
||||
@@ -24,6 +25,7 @@ class PatientAssignRequest(BaseModel):
|
||||
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:
|
||||
@@ -70,7 +72,14 @@ def serve_dashboard():
|
||||
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())
|
||||
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)
|
||||
|
||||
@@ -112,26 +121,30 @@ def get_latest_readings(
|
||||
if device_id:
|
||||
query = query.filter(VitalReading.device_id == device_id)
|
||||
|
||||
patient_filters = []
|
||||
patient_criteria = []
|
||||
if mrn:
|
||||
mrn_clean = mrn.strip()
|
||||
patient_filters.append(Patient.mrn == mrn_clean)
|
||||
patient_filters.append(Patient.patient_id == mrn_clean)
|
||||
patient_criteria.append(or_(Patient.mrn == mrn_clean, Patient.patient_id == mrn_clean))
|
||||
if name:
|
||||
name_clean = name.strip()
|
||||
patient_filters.append(Patient.name.ilike(f"%{name_clean}%"))
|
||||
patient_criteria.append(Patient.name.ilike(f"%{name_clean}%"))
|
||||
if dob:
|
||||
dob_clean = dob.strip()
|
||||
patient_filters.append(Patient.dob.ilike(f"%{dob_clean}%"))
|
||||
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_filters:
|
||||
matching_patients = db.query(Patient).filter(or_(*patient_filters)).all()
|
||||
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 mrn:
|
||||
conds.append(VitalReading.patient_id == mrn.strip())
|
||||
if matching_mrns:
|
||||
conds.append(VitalReading.patient_id.in_(matching_mrns))
|
||||
if matching_dev_ids:
|
||||
@@ -139,6 +152,8 @@ def get_latest_readings(
|
||||
|
||||
if conds:
|
||||
query = query.filter(or_(*conds))
|
||||
else:
|
||||
return []
|
||||
|
||||
readings = query.order_by(VitalReading.timestamp.desc()).limit(limit).all()
|
||||
return readings
|
||||
@@ -147,24 +162,121 @@ def get_latest_readings(
|
||||
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:
|
||||
# Find latest vitals for this patient or this patient's assigned device
|
||||
latest_reading = (
|
||||
db.query(VitalReading)
|
||||
.filter(
|
||||
or_(
|
||||
VitalReading.patient_id == p.mrn,
|
||||
VitalReading.patient_id == p.patient_id,
|
||||
(VitalReading.device_id == p.device_id) if p.device_id else False
|
||||
)
|
||||
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
|
||||
)
|
||||
.order_by(VitalReading.timestamp.desc())
|
||||
.first()
|
||||
)
|
||||
|
||||
# 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({
|
||||
@@ -178,16 +290,7 @@ def list_patients(db: Session = Depends(get_db)):
|
||||
"device_id": p.device_id,
|
||||
"device_status": device.status if device else "unassigned",
|
||||
"device_ip": device.ip_address if device else None,
|
||||
"latest_vitals": {
|
||||
"heart_rate": latest_reading.heart_rate if latest_reading else None,
|
||||
"spo2": latest_reading.spo2 if latest_reading else None,
|
||||
"systolic_bp": latest_reading.systolic_bp if latest_reading else None,
|
||||
"diastolic_bp": latest_reading.diastolic_bp if latest_reading else None,
|
||||
"map_bp": latest_reading.map_bp if latest_reading else None,
|
||||
"respiratory_rate": latest_reading.respiratory_rate if latest_reading else None,
|
||||
"temperature": latest_reading.temperature if latest_reading else None,
|
||||
"timestamp": latest_reading.timestamp.isoformat() if (latest_reading and latest_reading.timestamp) else None,
|
||||
} if latest_reading else None
|
||||
"latest_vitals": merged_vitals
|
||||
})
|
||||
return results
|
||||
|
||||
@@ -235,6 +338,8 @@ async def assign_patient(req: PatientAssignRequest, db: Session = Depends(get_db
|
||||
})
|
||||
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"
|
||||
@@ -256,6 +361,7 @@ async def assign_patient(req: PatientAssignRequest, db: Session = Depends(get_db
|
||||
gender=req.gender,
|
||||
dob=req.dob,
|
||||
bed_id=req.bed_id,
|
||||
patient_type=req.patient_type,
|
||||
device_id=device_id
|
||||
)
|
||||
db.add(patient)
|
||||
@@ -270,6 +376,8 @@ async def assign_patient(req: PatientAssignRequest, db: Session = Depends(get_db
|
||||
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"
|
||||
@@ -289,6 +397,7 @@ async def assign_patient(req: PatientAssignRequest, db: Session = Depends(get_db
|
||||
"gender": patient.gender,
|
||||
"dob": patient.dob,
|
||||
"bed_id": patient.bed_id,
|
||||
"patient_type": patient.patient_type,
|
||||
}
|
||||
set_assigned_patient(device_id, p_data)
|
||||
|
||||
@@ -306,10 +415,14 @@ async def assign_patient(req: PatientAssignRequest, db: Session = Depends(get_db
|
||||
"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}",
|
||||
@@ -445,6 +558,7 @@ def get_network_info():
|
||||
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()
|
||||
@@ -468,3 +582,117 @@ def get_network_info():
|
||||
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,
|
||||
temperature2=getattr(vitals, 'temperature2', None),
|
||||
temperature_diff=getattr(vitals, 'temperature_diff', None),
|
||||
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)}")
|
||||
|
||||
|
||||
@@ -14,6 +14,8 @@ class NormalizedVitals(BaseModel):
|
||||
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
|
||||
@@ -23,6 +25,7 @@ class NormalizedVitals(BaseModel):
|
||||
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
|
||||
|
||||
+38
-5
@@ -5,11 +5,42 @@ set -e
|
||||
|
||||
SERVICE_NAME="contec-forwarder"
|
||||
SERVICE_FILE="/etc/systemd/system/${SERVICE_NAME}.service"
|
||||
WORKING_DIR="/home/prathiyuman/Prathiyuman/ContecMonitor/fiveparaminte-main"
|
||||
|
||||
# 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"
|
||||
|
||||
echo "=== Creating systemd service file ==="
|
||||
# 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, 61501) and Web API (Port 8006)
|
||||
if command -v ufw >/dev/null 2>&1; then
|
||||
echo "=== Configuring firewall (UFW) for Port 511, 61501, and 8006 ==="
|
||||
sudo ufw allow 511/tcp comment "Contec Patient Monitor CMS TCP 511" || true
|
||||
sudo ufw allow 61501/tcp comment "Contec Patient Monitor CMS TCP 61501" || true
|
||||
sudo ufw allow 8006/tcp comment "Contec Forwarder HTTP API" || true
|
||||
fi
|
||||
|
||||
echo "=== Creating systemd service file: ${SERVICE_FILE} ==="
|
||||
sudo bash -c "cat > ${SERVICE_FILE}" <<EOF
|
||||
[Unit]
|
||||
Description=Contec Patient Monitor Vital Signs Forwarder
|
||||
@@ -20,6 +51,7 @@ Type=simple
|
||||
User=root
|
||||
WorkingDirectory=${WORKING_DIR}
|
||||
Environment=PORT=8006
|
||||
Environment=PYTHONPATH=${WORKING_DIR}
|
||||
ExecStart=${PYTHON_EXEC} ${SCRIPT_PATH}
|
||||
Restart=always
|
||||
RestartSec=5
|
||||
@@ -36,7 +68,7 @@ sudo systemctl daemon-reload
|
||||
echo "=== Enabling ${SERVICE_NAME} to start on boot ==="
|
||||
sudo systemctl enable ${SERVICE_NAME}
|
||||
|
||||
echo "=== Starting ${SERVICE_NAME} service ==="
|
||||
echo "=== Restarting ${SERVICE_NAME} service ==="
|
||||
sudo systemctl restart ${SERVICE_NAME}
|
||||
|
||||
echo "=== Service Status ==="
|
||||
@@ -45,6 +77,7 @@ sudo systemctl status ${SERVICE_NAME} --no-pager
|
||||
echo ""
|
||||
echo "=========================================================="
|
||||
echo "SUCCESS: Contec Forwarder is now running in the background!"
|
||||
echo "To check live service logs, run:"
|
||||
echo " sudo journalctl -u contec-forwarder -f"
|
||||
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 "=========================================================="
|
||||
|
||||
+2026
-280
File diff suppressed because it is too large
Load Diff
Reference in New Issue
Block a user