memind/health-event-engine.mjs

import { canEmitHealthEvent, resolveBaselineMaturity } from './health-baseline-maturity.mjs';
import { deviationFromBaseline } from './health-baseline-engine.mjs';
import { isValidObservationForBaseline } from './health-baseline-maturity.mjs';

const ABSOLUTE_RULES = Object.freeze([
  { ruleId: 'spo2_low', metricType: 'spo2', op: 'lt', threshold: 90, severity: 'alert' },
  { ruleId: 'bp_sys_high', metricType: 'bp_systolic', op: 'gte', threshold: 180, severity: 'alert' },
  { ruleId: 'bp_dia_high', metricType: 'bp_diastolic', op: 'gte', threshold: 110, severity: 'alert' },
]);

function compare(value, op, threshold) {
  const num = Number(value);
  if (!Number.isFinite(num)) return false;
  if (op === 'lt') return num < threshold;
  if (op === 'lte') return num <= threshold;
  if (op === 'gt') return num > threshold;
  if (op === 'gte') return num >= threshold;
  return false;
}

function dayKey(observedAt) {
  return new Date(Number(observedAt)).toISOString().slice(0, 10);
}

export function evaluateAbsoluteThresholdRules(observations = [], { now = Date.now() } = {}) {
  const events = [];
  const latestByMetric = new Map();
  for (const row of observations) {
    if (!isValidObservationForBaseline(row) || row.valueNum == null) continue;
    const prev = latestByMetric.get(row.metricType);
    if (!prev || Number(row.observedAt) > Number(prev.observedAt)) {
      latestByMetric.set(row.metricType, row);
    }
  }
  for (const rule of ABSOLUTE_RULES) {
    const row = latestByMetric.get(rule.metricType);
    if (!row) continue;
    if (!compare(row.valueNum, rule.op, rule.threshold)) continue;
    events.push({
      eventType: 'threshold_breach',
      ruleId: rule.ruleId,
      severity: rule.severity,
      metricType: rule.metricType,
      value: row.valueNum,
      observedAt: row.observedAt,
      message: `${rule.metricType} 触发绝对阈值规则 ${rule.ruleId}`,
      createdAt: now,
    });
  }
  return events;
}

export function evaluateMissedMorningBp(observations = [], { now = Date.now(), streakDays = 3 } = {}) {
  const morningBpDays = new Set(
    observations
      .filter((row) => row.metricType === 'bp_systolic' && row.context === 'morning')
      .map((row) => dayKey(row.observedAt)),
  );
  let miss = 0;
  for (let i = 0; i < streakDays; i += 1) {
    const d = new Date(now - i * 24 * 60 * 60 * 1000).toISOString().slice(0, 10);
    if (!morningBpDays.has(d)) miss += 1;
  }
  if (miss < streakDays) return [];
  return [{
    eventType: 'missed_measurement',
    ruleId: 'morning_bp_streak',
    severity: 'watch',
    metricType: 'bp_systolic',
    message: `连续 ${streakDays} 天缺少晨间血压记录`,
    createdAt: now,
  }];
}

export function evaluateBaselineDrift(observations = [], baselines = [], {
  driftPct = 15,
  minDays = 3,
  now = Date.now(),
} = {}) {
  const events = [];
  const baseline30 = baselines.filter((b) => b.windowDays === 30 && b.context === 'morning');
  for (const base of baseline30) {
    if (resolveBaselineMaturity(base.sampleCount) === 'cold') continue;
    const recent = observations.filter(
      (row) =>
        row.metricType === base.metricType
        && row.context === base.context
        && isValidObservationForBaseline(row)
        && Number(row.observedAt) >= now - 14 * 24 * 60 * 60 * 1000,
    );
    if (recent.length < minDays) continue;
    const deviations = recent
      .map((row) => deviationFromBaseline(row.valueNum, base.mean))
      .filter((v) => v != null);
    const above = deviations.filter((v) => Math.abs(v) >= driftPct).length;
    if (above < minDays) continue;
    const severity = base.maturity === 'stable' ? 'watch' : 'info';
    if (!canEmitHealthEvent(base.maturity, severity)) continue;
    events.push({
      eventType: 'baseline_drift',
      ruleId: `${base.metricType}_drift_30d`,
      severity,
      metricType: base.metricType,
      baselineMean: base.mean,
      message: `${base.metricType} 近 14 天较 30 天基线偏离超过 ${driftPct}%`,
      createdAt: now,
    });
  }
  return events;
}

export function evaluateSymptomCluster(observations = [], { streakDays = 3, now = Date.now() } = {}) {
  const symptomRows = observations
    .filter((row) => row.metricType === 'symptom' && row.valueText && row.valueText !== 'none')
    .sort((a, b) => Number(b.observedAt) - Number(a.observedAt));
  const byCode = new Map();
  for (const row of symptomRows) {
    const code = String(row.valueText).split(':')[0];
    if (!byCode.has(code)) byCode.set(code, []);
    byCode.get(code).push(dayKey(row.observedAt));
  }
  const events = [];
  for (const [code, days] of byCode.entries()) {
    const uniqueDays = [...new Set(days)].slice(0, streakDays);
    if (uniqueDays.length < streakDays) continue;
    events.push({
      eventType: 'symptom_cluster',
      ruleId: 'symptom_streak',
      severity: 'watch',
      metricType: 'symptom',
      symptomCode: code,
      message: `症状 ${code} 在最近 ${streakDays} 天重复出现`,
      createdAt: now,
    });
  }
  return events;
}

export function evaluateHealthEvents(observations = [], baselines = [], options = {}) {
  const mode = options.mode ?? 'active';
  const events = [
    ...evaluateAbsoluteThresholdRules(observations, options),
    ...evaluateMissedMorningBp(observations, options),
    ...evaluateBaselineDrift(observations, baselines, options),
    ...evaluateSymptomCluster(observations, options),
  ];
  if (mode === 'shadow') {
    return events.map((event) => ({ ...event, shadow: true }));
  }
  return events;
}