memind/health-observation-service.mjs

import { validateBloodPressurePair, validateMetricValue } from './health-observation-validate.mjs';
import { assertSymptomRecord } from './health-symptoms.mjs';
import { observationDedupKey } from './health-observation-validate.mjs';
import { buildHealthTimeline } from './health-timeline.mjs';

const METRIC_SET_TO_TYPE = Object.freeze({
  heart_rate: 'hr',
  weight: 'weight',
  spo2: 'spo2',
  temperature: 'temperature',
  sleep: 'sleep_minutes',
});

export function createHealthObservationService({ store } = {}) {
  if (!store) throw new Error('createHealthObservationService requires store');

  async function insertUnique(userId, observation) {
    const dedup = observationDedupKey({
      metricType: observation.metricType,
      observedAt: observation.observedAt,
      sourceRef: observation.sourceRef ?? null,
    });
    if (dedup && store.findByDedupKey) {
      const existing = await store.findByDedupKey(userId, dedup);
      if (existing) return existing;
    }
    return store.insert(userId, {
      ...observation,
      confirmed: true,
      dedupKey: dedup,
    });
  }

  return {
    store,
    async list(userId, options) {
      return store.list(userId, options);
    },
    async listTimeline(userId, options) {
      const rows = await store.list(userId, { limit: options?.limit ?? 500 });
      return buildHealthTimeline(rows, options);
    },
    async commit(userId, body = {}) {
      if (body.confirmed !== true) {
        const error = Object.assign(new Error('必须确认后才能保存'), { code: 'health_unconfirmed' });
        throw error;
      }
      const observedAt = body.observedAt ?? Date.now();
      const source = body.source ?? 'manual';
      const context = body.context ?? 'other';
      const sourceRef = body.sourceRef ?? null;

      if (body.metricSet === 'blood_pressure') {
        const pair = validateBloodPressurePair(body.systolic, body.diastolic);
        if (!pair.ok) {
          const error = Object.assign(new Error(pair.error ?? 'invalid_blood_pressure'), { code: pair.error });
          throw error;
        }
        const systolic = await insertUnique(userId, {
          confirmed: true,
          observedAt,
          metricType: 'bp_systolic',
          valueNum: pair.systolic,
          unit: 'mmHg',
          context,
          source,
          sourceRef,
          qualityFlag: body.qualityFlag ?? 'ok',
        });
        const diastolic = await insertUnique(userId, {
          confirmed: true,
          observedAt,
          metricType: 'bp_diastolic',
          valueNum: pair.diastolic,
          unit: 'mmHg',
          context,
          source,
          sourceRef,
          qualityFlag: body.qualityFlag ?? 'ok',
        });
        return { observations: [systolic, diastolic] };
      }

      if (body.metricSet === 'symptom') {
        const symptom = assertSymptomRecord({
          code: body.symptomCode ?? body.code,
          severity: body.severity,
          note: body.note,
        });
        if (!symptom.ok) {
          const error = Object.assign(new Error(symptom.error ?? 'invalid_symptom'), { code: symptom.error });
          throw error;
        }
        const row = await insertUnique(userId, {
          confirmed: true,
          observedAt,
          metricType: 'symptom',
          valueText: symptom.code === 'none' ? 'none' : `${symptom.code}:${symptom.severity}`,
          unit: null,
          context,
          source,
          sourceRef,
          qualityFlag: 'ok',
          note: symptom.note,
        });
        return { observations: [row] };
      }

      const metricType = body.metricType ?? METRIC_SET_TO_TYPE[body.metricSet];
      if (!metricType) {
        const error = Object.assign(new Error('unknown_metric_set'), { code: 'unknown_metric_set' });
        throw error;
      }
      const checked = validateMetricValue(metricType, body.valueNum ?? body.value);
      if (!checked.ok) {
        const error = Object.assign(new Error(checked.error ?? 'invalid_metric'), { code: checked.error });
        throw error;
      }
      const row = await insertUnique(userId, {
        confirmed: true,
        observedAt,
        metricType,
        valueNum: checked.value,
        unit: checked.unit,
        context: body.context ?? 'any',
        source,
        sourceRef,
        qualityFlag: body.qualityFlag ?? 'ok',
      });
      return { observations: [row] };
    },
    async commitFromPending(userId, pendingValues = {}, source = 'manual') {
      if (!pendingValues?.metricSet) return null;
      return this.commit(userId, {
        confirmed: true,
        ...pendingValues,
        source: pendingValues.source ?? source,
      });
    },
  };
}