13714d9ed8
- 新增用户通知 outbox 流水线(EfUserNotificationPipeline)与后台投递 worker - 通知中心页面及前端通知服务接入 - 健康指标异常、用药/运动提醒等事件统一产出站内通知 - 健康档案结构化手术史、用药提醒扫描、医生/用户端点等配套调整 - AppDbContext 注册通知相关实体
69 lines
3.0 KiB
C#
69 lines
3.0 KiB
C#
using System.Text;
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using Health.Application.HealthArchives;
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using Health.Application.HealthRecords;
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using Health.Application.Medications;
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namespace Health.Application.AI;
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public sealed class PatientContextService(
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IHealthArchiveService archives,
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IHealthRecordService healthRecords,
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IMedicationService medications) : IPatientContextService
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{
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private readonly IHealthArchiveService _archives = archives;
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private readonly IHealthRecordService _healthRecords = healthRecords;
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private readonly IMedicationService _medications = medications;
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public async Task<string> BuildAsync(Guid userId, CancellationToken ct)
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{
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var archive = await _archives.GetAsync(userId, ct);
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var recentRecords = (await _healthRecords.GetRecordsAsync(userId, null, 30, ct)).Take(10).ToList();
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var activeMedications = await _medications.ListActiveAsync(userId, ct);
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var sb = new StringBuilder();
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if (archive != null)
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{
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if (!string.IsNullOrEmpty(archive.Diagnosis)) sb.AppendLine($"诊断: {archive.Diagnosis}");
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if (archive.Surgeries.Count > 0)
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sb.AppendLine($"手术: {string.Join("；", archive.Surgeries.Select(s => $"{s.Type} ({s.Date})"))}");
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else if (!string.IsNullOrEmpty(archive.SurgeryType))
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sb.AppendLine($"手术: {archive.SurgeryType} ({archive.SurgeryDate})");
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if (archive.ChronicDiseases.Count > 0) sb.AppendLine($"慢病史: {string.Join(", ", archive.ChronicDiseases)}");
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if (!string.IsNullOrEmpty(archive.FamilyHistory)) sb.AppendLine($"家族病史: {archive.FamilyHistory}");
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if (archive.Allergies.Count > 0) sb.AppendLine($"过敏: {string.Join(", ", archive.Allergies)}");
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if (archive.DietRestrictions.Count > 0) sb.AppendLine($"饮食限制: {string.Join(", ", archive.DietRestrictions)}");
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}
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if (activeMedications.Count > 0)
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{
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sb.AppendLine("当前用药:");
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foreach (var medication in activeMedications.Take(20))
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{
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var times = medication.TimeOfDay.Count > 0
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? string.Join("/", medication.TimeOfDay.Select(t => t.ToString("HH:mm")))
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: "未设置时间";
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sb.AppendLine($" {medication.Name} {medication.Dosage ?? ""} {medication.Frequency} {times}");
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}
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}
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if (recentRecords.Count > 0)
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{
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sb.AppendLine("近期健康数据:");
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foreach (var record in recentRecords)
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sb.AppendLine($" {record.Type}: {RecordValue(record)} ({record.RecordedAt:MM-dd HH:mm})");
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}
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return sb.ToString();
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}
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private static string RecordValue(HealthRecordDto record) => record.Type switch
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{
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"BloodPressure" => $"{record.Systolic}/{record.Diastolic}",
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"HeartRate" => $"{record.Value}次/分",
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"Glucose" => $"{record.Value}",
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"SpO2" => $"{record.Value}%",
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"Weight" => $"{record.Value}kg",
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_ => "—"
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};
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}
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