HaHafeng
5db4a7064c
Summary: - Add 4 new database tables: iit_field_metadata, iit_qc_logs, iit_record_summary, iit_qc_project_stats - Implement pg-boss debounce mechanism in WebhookController - Refactor QC Worker for dual output: QC logs + record summary - Enhance HardRuleEngine to support form-based rule filtering - Create QcService for QC data queries - Optimize ChatService with new intents: query_enrollment, query_qc_status - Add admin batch operations: one-click full QC + one-click full summary - Create IIT Admin management module: project config, QC rules, user mapping Status: Code complete, pending end-to-end testing Co-authored-by: Cursor <cursoragent@cursor.com>
360 lines
13 KiB
TypeScript
360 lines
13 KiB
TypeScript
/**
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* IIT Manager Agent - 质控规则初始化脚本
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*
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* 项目：原发性痛经队列研究
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*
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* 使用方法：
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* npx tsx prisma/seed-iit-qc-rules.ts
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*
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* 创建日期：2026-02-07
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*/
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import { PrismaClient } from '@prisma/client';
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const prisma = new PrismaClient();
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// ============================================================
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// 项目配置
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// ============================================================
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const PROJECT_ID = 'test0102-project-id'; // 需要替换为实际的项目 ID
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// ============================================================
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// 纳入标准规则
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// ============================================================
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const INCLUSION_RULES = [
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{
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id: 'inc_001',
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name: '年龄范围检查',
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field: 'age',
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logic: {
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and: [
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{ '>=': [{ var: 'age' }, 16] },
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{ '<=': [{ var: 'age' }, 35] }
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]
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},
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message: '年龄不在 16-35 岁范围内',
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severity: 'error',
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category: 'inclusion'
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},
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{
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id: 'inc_002',
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name: '出生日期范围检查',
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field: 'birth_date',
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logic: {
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and: [
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{ '>=': [{ var: 'birth_date' }, '1989-01-01'] },
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{ '<=': [{ var: 'birth_date' }, '2008-01-01'] }
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]
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},
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message: '出生日期不在 1989-01-01 至 2008-01-01 范围内',
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severity: 'error',
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category: 'inclusion'
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},
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{
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id: 'inc_003',
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name: '月经周期规律性检查',
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field: 'menstrual_cycle',
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logic: {
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and: [
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{ '>=': [{ var: 'menstrual_cycle' }, 21] },
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{ '<=': [{ var: 'menstrual_cycle' }, 35] }
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]
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},
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message: '月经周期不在 21-35 天范围内（28±7天）',
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severity: 'error',
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category: 'inclusion'
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},
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{
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id: 'inc_004',
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name: 'VAS 评分检查',
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field: 'vas_score',
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logic: { '>=': [{ var: 'vas_score' }, 4] },
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message: 'VAS 疼痛评分 < 4 分，不符合入组条件',
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severity: 'error',
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category: 'inclusion'
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},
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{
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id: 'inc_005',
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name: '知情同意书签署检查',
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field: 'informed_consent',
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logic: { '==': [{ var: 'informed_consent' }, 1] },
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message: '未签署知情同意书',
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severity: 'error',
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category: 'inclusion'
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}
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];
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// ============================================================
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// 排除标准规则
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// ============================================================
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const EXCLUSION_RULES = [
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{
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id: 'exc_001',
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name: '继发性痛经排除',
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field: 'secondary_dysmenorrhea',
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logic: { '!=': [{ var: 'secondary_dysmenorrhea' }, 1] },
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message: '存在继发性痛经（盆腔炎、子宫内膜异位症、子宫腺肌病等）',
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severity: 'error',
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category: 'exclusion'
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},
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{
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id: 'exc_002',
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name: '妊娠哺乳期排除',
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field: 'pregnancy_lactation',
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logic: { '!=': [{ var: 'pregnancy_lactation' }, 1] },
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message: '妊娠或哺乳期妇女，不符合入组条件',
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severity: 'error',
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category: 'exclusion'
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},
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{
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id: 'exc_003',
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name: '严重疾病排除',
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field: 'severe_disease',
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logic: { '!=': [{ var: 'severe_disease' }, 1] },
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message: '合并有心脑血管、肝、肾、造血系统等严重疾病或精神病',
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severity: 'error',
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category: 'exclusion'
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},
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{
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id: 'exc_004',
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name: '月经周期不规律排除',
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field: 'irregular_menstruation',
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logic: { '!=': [{ var: 'irregular_menstruation' }, 1] },
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message: '月经周期不规律或间歇性痛经发作',
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severity: 'error',
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category: 'exclusion'
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}
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];
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// ============================================================
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// 血常规变量范围规则
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// ============================================================
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const LAB_VALUE_RULES = [
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// 1. 白细胞计数
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{ id: 'lab_001', name: '白细胞计数', field: 'wbc', min: 3.5, max: 9.5, unit: '*10^9/L' },
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// 2. 红细胞计数
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{ id: 'lab_002', name: '红细胞计数', field: 'rbc', min: 3.8, max: 5.1, unit: '*10^12/L' },
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// 3. 血红蛋白
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{ id: 'lab_003', name: '血红蛋白', field: 'hgb', min: 115, max: 150, unit: 'g/L' },
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// 4. 红细胞压积
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{ id: 'lab_004', name: '红细胞压积', field: 'hct', min: 35, max: 45, unit: '%' },
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// 5. 平均红细胞体积
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{ id: 'lab_005', name: '平均红细胞体积', field: 'mcv', min: 82, max: 100, unit: 'fL' },
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// 6. 平均血红蛋白量
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{ id: 'lab_006', name: '平均血红蛋白量', field: 'mch', min: 27, max: 34, unit: 'pg' },
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// 7. 平均血红蛋白浓度
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{ id: 'lab_007', name: '平均血红蛋白浓度', field: 'mchc', min: 316, max: 354, unit: 'g/L' },
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// 8. 红细胞体积分布宽度-SD
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{ id: 'lab_008', name: '红细胞体积分布宽度-SD', field: 'rdw_sd', min: 37, max: 51, unit: 'fL' },
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// 9. 红细胞体积分布宽度-CV
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{ id: 'lab_009', name: '红细胞体积分布宽度-CV', field: 'rdw_cv', min: 0, max: 14.9, unit: '%' },
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// 10. 血小板计数
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{ id: 'lab_010', name: '血小板计数', field: 'plt', min: 125, max: 350, unit: '*10^9/L' },
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// 11. 血小板平均体积
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{ id: 'lab_011', name: '血小板平均体积', field: 'mpv', min: 7.2, max: 13.2, unit: 'fL' },
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// 12. 血小板体积分布宽度
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{ id: 'lab_012', name: '血小板体积分布宽度', field: 'pdw', min: 9, max: 13, unit: 'fL' },
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// 13. 血小板比积
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{ id: 'lab_013', name: '血小板比积', field: 'pct', min: 0.18, max: 0.22, unit: '%' },
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// 14. 大血小板比率
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{ id: 'lab_014', name: '大血小板比率', field: 'p_lcr', min: 13, max: 43, unit: '%' },
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// 15. 中性粒细胞绝对值
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{ id: 'lab_015', name: '中性粒细胞绝对值', field: 'neut_abs', min: 1.8, max: 6.3, unit: '*10^9/L' },
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// 16. 淋巴细胞绝对值
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{ id: 'lab_016', name: '淋巴细胞绝对值', field: 'lymph_abs', min: 1.1, max: 3.2, unit: '*10^9/L' },
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// 17. 单核细胞绝对值
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{ id: 'lab_017', name: '单核细胞绝对值', field: 'mono_abs', min: 0.1, max: 0.6, unit: '*10^9/L' },
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// 18. 嗜酸细胞绝对值
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{ id: 'lab_018', name: '嗜酸细胞绝对值', field: 'eo_abs', min: 0.02, max: 0.52, unit: '*10^9/L' },
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// 19. 嗜碱细胞绝对值
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{ id: 'lab_019', name: '嗜碱细胞绝对值', field: 'baso_abs', min: 0, max: 0.06, unit: '*10^9/L' },
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// 20. 中性粒细胞相对值
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{ id: 'lab_020', name: '中性粒细胞相对值', field: 'neut_pct', min: 40, max: 75, unit: '%' },
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// 21. 淋巴细胞相对值
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{ id: 'lab_021', name: '淋巴细胞相对值', field: 'lymph_pct', min: 20, max: 50, unit: '%' },
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// 22. 单核细胞相对值
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{ id: 'lab_022', name: '单核细胞相对值', field: 'mono_pct', min: 3, max: 10, unit: '%' },
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// 23. 嗜酸细胞相对值
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{ id: 'lab_023', name: '嗜酸细胞相对值', field: 'eo_pct', min: 0.4, max: 8, unit: '%' },
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// 24. 嗜碱细胞相对值
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{ id: 'lab_024', name: '嗜碱细胞相对值', field: 'baso_pct', min: 0, max: 1, unit: '%' },
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];
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// 将实验室检查转换为 JSON Logic 规则
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const LAB_RULES = LAB_VALUE_RULES.map(item => ({
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id: item.id,
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name: `${item.name}范围检查`,
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field: item.field,
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logic: {
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or: [
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{ '==': [{ var: item.field }, null] }, // 允许为空（可选检查项）
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{
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and: [
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{ '>=': [{ var: item.field }, item.min] },
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{ '<=': [{ var: item.field }, item.max] }
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]
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}
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]
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},
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message: `${item.name}超出正常范围（${item.min}-${item.max} ${item.unit}）`,
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severity: 'warning',
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category: 'lab_values',
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metadata: { min: item.min, max: item.max, unit: item.unit }
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}));
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// ============================================================
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// 字段映射配置
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// ============================================================
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const FIELD_MAPPINGS = [
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// 基本信息
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{ aliasName: '年龄', actualName: 'age', fieldType: 'number', fieldLabel: '年龄' },
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{ aliasName: 'age', actualName: 'age', fieldType: 'number', fieldLabel: '年龄' },
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{ aliasName: '出生日期', actualName: 'birth_date', fieldType: 'date', fieldLabel: '出生日期' },
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{ aliasName: 'birth_date', actualName: 'birth_date', fieldType: 'date', fieldLabel: '出生日期' },
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// 入排标准相关
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{ aliasName: '月经周期', actualName: 'menstrual_cycle', fieldType: 'number', fieldLabel: '月经周期（天）' },
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{ aliasName: 'menstrual_cycle', actualName: 'menstrual_cycle', fieldType: 'number', fieldLabel: '月经周期（天）' },
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{ aliasName: 'VAS评分', actualName: 'vas_score', fieldType: 'number', fieldLabel: 'VAS疼痛评分' },
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{ aliasName: 'vas_score', actualName: 'vas_score', fieldType: 'number', fieldLabel: 'VAS疼痛评分' },
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{ aliasName: '知情同意', actualName: 'informed_consent', fieldType: 'radio', fieldLabel: '是否签署知情同意书' },
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{ aliasName: 'informed_consent', actualName: 'informed_consent', fieldType: 'radio', fieldLabel: '是否签署知情同意书' },
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// 排除标准相关
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{ aliasName: '继发性痛经', actualName: 'secondary_dysmenorrhea', fieldType: 'radio', fieldLabel: '继发性痛经' },
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{ aliasName: '妊娠哺乳', actualName: 'pregnancy_lactation', fieldType: 'radio', fieldLabel: '妊娠或哺乳期' },
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{ aliasName: '严重疾病', actualName: 'severe_disease', fieldType: 'radio', fieldLabel: '严重疾病' },
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{ aliasName: '月经不规律', actualName: 'irregular_menstruation', fieldType: 'radio', fieldLabel: '月经周期不规律' },
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// 血常规字段映射
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{ aliasName: '白细胞', actualName: 'wbc', fieldType: 'number', fieldLabel: '白细胞计数' },
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{ aliasName: '红细胞', actualName: 'rbc', fieldType: 'number', fieldLabel: '红细胞计数' },
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{ aliasName: '血红蛋白', actualName: 'hgb', fieldType: 'number', fieldLabel: '血红蛋白' },
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{ aliasName: '血小板', actualName: 'plt', fieldType: 'number', fieldLabel: '血小板计数' },
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// ... 更多字段可按需添加
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];
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// ============================================================
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// 主函数
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// ============================================================
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async function main() {
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console.log('🚀 开始初始化 IIT Manager 质控规则...\n');
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// 1. 先获取项目 ID
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const project = await prisma.iitProject.findFirst({
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where: { name: 'test0102' }
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});
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if (!project) {
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console.error('❌ 未找到项目 test0102，请先创建项目');
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console.log('💡 提示：可以在 iit_schema.projects 表中创建项目');
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return;
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}
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const projectId = project.id;
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console.log(`✅ 找到项目: ${project.name} (${projectId})\n`);
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// 2. 创建质控技能配置
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console.log('📋 创建质控技能配置...');
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const allRules = [...INCLUSION_RULES, ...EXCLUSION_RULES, ...LAB_RULES];
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await prisma.iitSkill.upsert({
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where: {
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projectId_skillType: {
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projectId: projectId,
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skillType: 'qc_process'
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}
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},
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update: {
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name: '原发性痛经队列研究-入组质控',
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description: '包含纳入标准、排除标准、血常规范围检查',
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config: {
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version: '1.0',
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rules: allRules,
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summary: {
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totalRules: allRules.length,
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inclusionRules: INCLUSION_RULES.length,
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exclusionRules: EXCLUSION_RULES.length,
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labRules: LAB_RULES.length
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}
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},
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isActive: true,
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triggerType: 'webhook',
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updatedAt: new Date()
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},
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create: {
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projectId: projectId,
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skillType: 'qc_process',
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name: '原发性痛经队列研究-入组质控',
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description: '包含纳入标准、排除标准、血常规范围检查',
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config: {
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version: '1.0',
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rules: allRules,
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summary: {
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totalRules: allRules.length,
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inclusionRules: INCLUSION_RULES.length,
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exclusionRules: EXCLUSION_RULES.length,
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labRules: LAB_RULES.length
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}
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},
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isActive: true,
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triggerType: 'webhook'
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}
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});
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console.log(` ✅ 已创建质控技能，共 ${allRules.length} 条规则`);
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console.log(` - 纳入标准: ${INCLUSION_RULES.length} 条`);
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console.log(` - 排除标准: ${EXCLUSION_RULES.length} 条`);
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console.log(` - 血常规范围: ${LAB_RULES.length} 条\n`);
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// 3. 创建字段映射
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console.log('🔗 创建字段映射...');
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for (const mapping of FIELD_MAPPINGS) {
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await prisma.iitFieldMapping.upsert({
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where: {
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projectId_aliasName: {
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projectId: projectId,
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aliasName: mapping.aliasName
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}
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},
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update: {
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actualName: mapping.actualName,
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fieldType: mapping.fieldType,
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fieldLabel: mapping.fieldLabel
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},
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create: {
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projectId: projectId,
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aliasName: mapping.aliasName,
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actualName: mapping.actualName,
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fieldType: mapping.fieldType,
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fieldLabel: mapping.fieldLabel
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}
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});
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}
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console.log(` ✅ 已创建 ${FIELD_MAPPINGS.length} 条字段映射\n`);
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// 4. 输出汇总
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console.log('=' .repeat(60));
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console.log('📊 初始化完成汇总');
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console.log('=' .repeat(60));
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console.log(`项目名称: ${project.name}`);
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console.log(`项目 ID: ${projectId}`);
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console.log(`质控规则总数: ${allRules.length}`);
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console.log(`字段映射总数: ${FIELD_MAPPINGS.length}`);
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console.log('=' .repeat(60));
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console.log('\n✅ IIT Manager 质控规则初始化完成！');
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}
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main()
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.catch((e) => {
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console.error('❌ 初始化失败:', e);
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process.exit(1);
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})
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.finally(async () => {
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await prisma.$disconnect();
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});
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