shutiaozhao127-boop
cfdeeb5e41
添加后端API和前端项目的初始目录结构，包括应用层模块、工具模块和模型定义 配置前后端的.dockerignore文件以排除开发环境文件 添加前端样式文件，包括字体、Tailwind CSS和主题配置 初始化Python虚拟环境中的类型标记文件
102 lines
5.0 KiB
Python
102 lines
5.0 KiB
Python
from datetime import datetime, timezone
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from fastapi import APIRouter, Depends, HTTPException
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from app.middleware.auth import get_current_user
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from app.models.checkup import CheckupPlan, CheckupItem
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from app.models.user import User
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router = APIRouter()
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# 标准产检计划
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STANDARD_CHECKUPS = [
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CheckupItem(title="首次产检", week=6, items=["B超确认宫内孕", "血常规", "尿常规", "肝功能", "肾功能"], preparations=["空腹", "带身份证和医保卡"], notes="确认怀孕和预产期", importance="high"),
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CheckupItem(title="NT检查", week=12, items=["NT超声筛查", "血清学筛查", "血压", "体重"], preparations=["不需要空腹", "需憋尿"], notes="筛查唐氏综合征风险", importance="high"),
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CheckupItem(title="唐氏筛查", week=16, items=["唐氏筛查抽血", "血压", "体重", "宫高腹围"], preparations=["空腹抽血"], notes="评估胎儿染色体异常风险", importance="high"),
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CheckupItem(title="大排畸检查", week=22, items=["四维彩超", "血压", "体重", "宫高腹围"], preparations=["不需要空腹", "提前预约"], notes="全面筛查胎儿结构畸形", importance="high"),
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CheckupItem(title="糖耐量检查", week=24, items=["OGTT糖耐量试验", "血压", "体重"], preparations=["空腹8-14小时", "检查前3天正常饮食"], notes="筛查妊娠期糖尿病", importance="high"),
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CheckupItem(title="常规产检", week=28, items=["血常规", "尿常规", "血压", "体重", "胎心监护"], preparations=["空腹"], notes="进入孕晚期，增加产检频率", importance="medium"),
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CheckupItem(title="常规产检", week=30, items=["B超评估胎儿发育", "血压", "体重", "胎心监护"], preparations=[], notes="评估胎儿生长发育", importance="medium"),
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CheckupItem(title="常规产检", week=32, items=["血常规", "尿常规", "血压", "体重", "胎心监护", "B超"], preparations=["空腹"], notes="观察胎位", importance="medium"),
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CheckupItem(title="GBS筛查", week=36, items=["B族链球菌筛查", "血压", "体重", "胎心监护", "内检"], preparations=[], notes="预防新生儿感染", importance="high"),
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CheckupItem(title="每周产检", week=37, items=["胎心监护", "血压", "体重", "宫高腹围"], preparations=[], notes="每周一次，准备待产", importance="medium"),
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CheckupItem(title="每周产检", week=38, items=["胎心监护", "B超评估", "血压", "体重"], preparations=[], notes="评估分娩时机", importance="medium"),
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CheckupItem(title="每周产检", week=39, items=["胎心监护", "血压", "体重", "宫颈评估"], preparations=[], notes="关注产兆", importance="high"),
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CheckupItem(title="预产期产检", week=40, items=["胎心监护", "B超", "血压", "体重", "催产评估"], preparations=[], notes="超过预产期需密切监护", importance="high"),
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]
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@router.get("/plan")
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async def get_checkup_plan(user: User = Depends(get_current_user)):
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"""获取产检计划"""
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plan = await CheckupPlan.find_one(CheckupPlan.user_id == user.id)
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if not plan:
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# Generate default plan
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plan = CheckupPlan(user_id=user.id, checkups=STANDARD_CHECKUPS)
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await plan.insert()
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# Mark completed checkups based on current week
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current_week = user.pregnancy_week or 0
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checkups = []
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for c in plan.checkups:
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status = c.status
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if c.week < current_week and status == "upcoming":
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status = "missed"
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checkups.append({
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**c.model_dump(),
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"status": status,
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})
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# Find next checkup
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next_checkup = None
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for c in checkups:
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if c["status"] == "upcoming":
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next_checkup = c
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break
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return {
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"checkups": checkups,
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"next_checkup": next_checkup,
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"current_week": current_week,
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}
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@router.put("/plan/{week}/complete")
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async def complete_checkup(week: int, user: User = Depends(get_current_user)):
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"""标记产检已完成"""
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plan = await CheckupPlan.find_one(CheckupPlan.user_id == user.id)
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if not plan:
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raise HTTPException(status_code=404, detail="产检计划不存在")
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for checkup in plan.checkups:
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if checkup.week == week:
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checkup.status = "completed"
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break
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plan.updated_at = datetime.now(timezone.utc)
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await plan.save()
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return {"message": "已标记完成"}
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async def link_report_to_checkup(user_id, report_id: str, pregnancy_week: int):
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"""将报告自动关联到最近的产检（±2周窗口），并标记该产检为已完成"""
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plan = await CheckupPlan.find_one(CheckupPlan.user_id == user_id)
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if not plan:
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return
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best = None
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best_diff = 999
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for c in plan.checkups:
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diff = abs(c.week - pregnancy_week)
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if diff <= 2 and diff < best_diff:
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best = c
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best_diff = diff
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if best:
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if report_id not in best.report_ids:
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best.report_ids.append(report_id)
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best.status = "completed"
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plan.updated_at = datetime.now(timezone.utc)
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await plan.save()
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