mitai-jinkendo/backend/routers/vitals_baseline.py
Lars 1866ff9ce6
Some checks failed
Build Test / lint-backend (push) Waiting to run
Build Test / build-frontend (push) Waiting to run
Deploy Development / deploy (push) Has been cancelled
refactor: vitals architecture - separate baseline vs blood pressure
BREAKING CHANGE: vitals_log split into vitals_baseline + blood_pressure_log

**Architektur-Änderung:**
- Baseline-Vitals (langsam veränderlich, 1x täglich morgens)
  → vitals_baseline (RHR, HRV, VO2 Max, SpO2, Atemfrequenz)
- Kontext-abhängige Vitals (mehrfach täglich, situativ)
  → blood_pressure_log (Blutdruck + Kontext-Tagging)

**Migration 015:**
- CREATE TABLE vitals_baseline (once daily, morning measurements)
- CREATE TABLE blood_pressure_log (multiple daily, context-aware)
- Migrate data from vitals_log → new tables
- Rename vitals_log → vitals_log_backup_pre_015 (safety)
- Prepared for future: glucose_log, temperature_log (commented)

**Backend:**
- NEW: routers/vitals_baseline.py (CRUD + Apple Health import)
- NEW: routers/blood_pressure.py (CRUD + Omron import + context)
- UPDATED: main.py (register new routers, remove old vitals)
- UPDATED: insights.py (query new tables, split template vars)

**Frontend:**
- UPDATED: api.js (new endpoints für baseline + BP)
- UPDATED: Analysis.jsx (add {{bp_summary}} variable)

**Nächster Schritt:**
- Frontend: VitalsPage.jsx refactoren (3 Tabs: Morgenmessung, Blutdruck, Import)

Co-Authored-By: Claude Opus 4.6 <noreply@anthropic.com>
2026-03-23 16:02:40 +01:00

375 lines
14 KiB
Python

"""
Vitals Baseline Router - v9d Phase 2d Refactored
Baseline vitals measured once daily (morning, fasted):
- Resting Heart Rate (RHR)
- Heart Rate Variability (HRV)
- VO2 Max
- SpO2 (Blood Oxygen Saturation)
- Respiratory Rate
Endpoints:
- GET /api/vitals/baseline List baseline vitals
- GET /api/vitals/baseline/by-date/{date} Get entry for specific date
- POST /api/vitals/baseline Create/update baseline entry (upsert)
- PUT /api/vitals/baseline/{id} Update baseline entry
- DELETE /api/vitals/baseline/{id} Delete baseline entry
- GET /api/vitals/baseline/stats Statistics and trends
- POST /api/vitals/baseline/import/apple-health Import Apple Health CSV
"""
from fastapi import APIRouter, HTTPException, Depends, Header, UploadFile, File
from pydantic import BaseModel
from typing import Optional
from datetime import datetime, timedelta
import logging
import csv
import io
from db import get_db, get_cursor, r2d
from auth import require_auth
from routers.profiles import get_pid
router = APIRouter(prefix="/api/vitals/baseline", tags=["vitals_baseline"])
logger = logging.getLogger(__name__)
# ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
# Pydantic Models
# ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
class BaselineEntry(BaseModel):
date: str
resting_hr: Optional[int] = None
hrv: Optional[int] = None
vo2_max: Optional[float] = None
spo2: Optional[int] = None
respiratory_rate: Optional[float] = None
body_temperature: Optional[float] = None
resting_metabolic_rate: Optional[int] = None
note: Optional[str] = None
# ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
# CRUD Endpoints
# ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
@router.get("")
def list_baseline_vitals(
limit: int = 90,
x_profile_id: Optional[str] = Header(default=None),
session: dict = Depends(require_auth)
):
"""Get baseline vitals (last N days)."""
pid = get_pid(x_profile_id)
with get_db() as conn:
cur = get_cursor(conn)
cur.execute("""
SELECT * FROM vitals_baseline
WHERE profile_id = %s
ORDER BY date DESC
LIMIT %s
""", (pid, limit))
return [r2d(r) for r in cur.fetchall()]
@router.get("/by-date/{date}")
def get_baseline_by_date(
date: str,
x_profile_id: Optional[str] = Header(default=None),
session: dict = Depends(require_auth)
):
"""Get baseline entry for specific date."""
pid = get_pid(x_profile_id)
with get_db() as conn:
cur = get_cursor(conn)
cur.execute("""
SELECT * FROM vitals_baseline
WHERE profile_id = %s AND date = %s
""", (pid, date))
row = cur.fetchone()
return r2d(row) if row else None
@router.post("")
def create_or_update_baseline(
entry: BaselineEntry,
x_profile_id: Optional[str] = Header(default=None),
session: dict = Depends(require_auth)
):
"""Create or update baseline entry (upsert on date)."""
pid = get_pid(x_profile_id)
# Build dynamic update columns (only non-None fields)
fields = []
values = [pid, entry.date]
if entry.resting_hr is not None:
fields.append("resting_hr = COALESCE(EXCLUDED.resting_hr, vitals_baseline.resting_hr)")
values.append(entry.resting_hr)
if entry.hrv is not None:
fields.append("hrv = COALESCE(EXCLUDED.hrv, vitals_baseline.hrv)")
values.append(entry.hrv)
if entry.vo2_max is not None:
fields.append("vo2_max = COALESCE(EXCLUDED.vo2_max, vitals_baseline.vo2_max)")
values.append(entry.vo2_max)
if entry.spo2 is not None:
fields.append("spo2 = COALESCE(EXCLUDED.spo2, vitals_baseline.spo2)")
values.append(entry.spo2)
if entry.respiratory_rate is not None:
fields.append("respiratory_rate = COALESCE(EXCLUDED.respiratory_rate, vitals_baseline.respiratory_rate)")
values.append(entry.respiratory_rate)
if entry.body_temperature is not None:
fields.append("body_temperature = COALESCE(EXCLUDED.body_temperature, vitals_baseline.body_temperature)")
values.append(entry.body_temperature)
if entry.resting_metabolic_rate is not None:
fields.append("resting_metabolic_rate = COALESCE(EXCLUDED.resting_metabolic_rate, vitals_baseline.resting_metabolic_rate)")
values.append(entry.resting_metabolic_rate)
if entry.note:
fields.append("note = COALESCE(EXCLUDED.note, vitals_baseline.note)")
values.append(entry.note)
# At least one field must be provided
if not fields:
raise HTTPException(400, "At least one baseline vital must be provided")
# Build value placeholders
placeholders = ", ".join([f"${i}" for i in range(1, len(values) + 1)])
with get_db() as conn:
cur = get_cursor(conn)
query = f"""
INSERT INTO vitals_baseline (profile_id, date, {', '.join([f.split('=')[0].strip() for f in fields])})
VALUES ($1, $2, {', '.join([f'${i}' for i in range(3, len(values) + 1)])})
ON CONFLICT (profile_id, date)
DO UPDATE SET {', '.join(fields)}, updated_at = NOW()
RETURNING *
"""
cur.execute(query, values)
return r2d(cur.fetchone())
@router.put("/{entry_id}")
def update_baseline(
entry_id: int,
entry: BaselineEntry,
x_profile_id: Optional[str] = Header(default=None),
session: dict = Depends(require_auth)
):
"""Update existing baseline entry."""
pid = get_pid(x_profile_id)
# Build SET clause dynamically
updates = []
values = []
idx = 1
if entry.resting_hr is not None:
updates.append(f"resting_hr = ${idx}")
values.append(entry.resting_hr)
idx += 1
if entry.hrv is not None:
updates.append(f"hrv = ${idx}")
values.append(entry.hrv)
idx += 1
if entry.vo2_max is not None:
updates.append(f"vo2_max = ${idx}")
values.append(entry.vo2_max)
idx += 1
if entry.spo2 is not None:
updates.append(f"spo2 = ${idx}")
values.append(entry.spo2)
idx += 1
if entry.respiratory_rate is not None:
updates.append(f"respiratory_rate = ${idx}")
values.append(entry.respiratory_rate)
idx += 1
if entry.note:
updates.append(f"note = ${idx}")
values.append(entry.note)
idx += 1
if not updates:
raise HTTPException(400, "No fields to update")
updates.append("updated_at = NOW()")
values.extend([entry_id, pid])
with get_db() as conn:
cur = get_cursor(conn)
query = f"""
UPDATE vitals_baseline
SET {', '.join(updates)}
WHERE id = ${idx} AND profile_id = ${idx + 1}
RETURNING *
"""
cur.execute(query, values)
row = cur.fetchone()
if not row:
raise HTTPException(404, "Entry not found")
return r2d(row)
@router.delete("/{entry_id}")
def delete_baseline(
entry_id: int,
x_profile_id: Optional[str] = Header(default=None),
session: dict = Depends(require_auth)
):
"""Delete baseline entry."""
pid = get_pid(x_profile_id)
with get_db() as conn:
cur = get_cursor(conn)
cur.execute("""
DELETE FROM vitals_baseline
WHERE id = %s AND profile_id = %s
""", (entry_id, pid))
if cur.rowcount == 0:
raise HTTPException(404, "Entry not found")
return {"ok": True}
# ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
# Statistics & Trends
# ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
@router.get("/stats")
def get_baseline_stats(
days: int = 30,
x_profile_id: Optional[str] = Header(default=None),
session: dict = Depends(require_auth)
):
"""Get baseline vitals statistics and trends."""
pid = get_pid(x_profile_id)
cutoff_date = (datetime.now() - timedelta(days=days)).date()
with get_db() as conn:
cur = get_cursor(conn)
cur.execute("""
SELECT
COUNT(*) as total_entries,
-- Resting HR
AVG(resting_hr) FILTER (WHERE date >= %s - INTERVAL '7 days') as avg_rhr_7d,
AVG(resting_hr) FILTER (WHERE date >= %s - INTERVAL '30 days') as avg_rhr_30d,
-- HRV
AVG(hrv) FILTER (WHERE date >= %s - INTERVAL '7 days') as avg_hrv_7d,
AVG(hrv) FILTER (WHERE date >= %s - INTERVAL '30 days') as avg_hrv_30d,
-- Latest values
(SELECT vo2_max FROM vitals_baseline WHERE profile_id = %s AND vo2_max IS NOT NULL ORDER BY date DESC LIMIT 1) as latest_vo2_max,
AVG(spo2) FILTER (WHERE date >= %s - INTERVAL '7 days') as avg_spo2_7d
FROM vitals_baseline
WHERE profile_id = %s AND date >= %s
""", (cutoff_date, cutoff_date, cutoff_date, cutoff_date, pid, cutoff_date, pid, cutoff_date))
stats = r2d(cur.fetchone())
# Calculate trends (7d vs 30d)
if stats['avg_rhr_7d'] and stats['avg_rhr_30d']:
if stats['avg_rhr_7d'] < stats['avg_rhr_30d'] - 2:
stats['trend_rhr'] = 'decreasing' # Good!
elif stats['avg_rhr_7d'] > stats['avg_rhr_30d'] + 2:
stats['trend_rhr'] = 'increasing' # Warning
else:
stats['trend_rhr'] = 'stable'
else:
stats['trend_rhr'] = None
if stats['avg_hrv_7d'] and stats['avg_hrv_30d']:
if stats['avg_hrv_7d'] > stats['avg_hrv_30d'] + 5:
stats['trend_hrv'] = 'increasing' # Good!
elif stats['avg_hrv_7d'] < stats['avg_hrv_30d'] - 5:
stats['trend_hrv'] = 'decreasing' # Warning
else:
stats['trend_hrv'] = 'stable'
else:
stats['trend_hrv'] = None
return stats
# ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
# Import: Apple Health CSV
# ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
@router.post("/import/apple-health")
async def import_apple_health_baseline(
file: UploadFile = File(...),
x_profile_id: Optional[str] = Header(default=None),
session: dict = Depends(require_auth)
):
"""Import baseline vitals from Apple Health CSV export."""
pid = get_pid(x_profile_id)
content = await file.read()
decoded = content.decode('utf-8')
reader = csv.DictReader(io.StringIO(decoded))
inserted = 0
updated = 0
skipped = 0
errors = 0
with get_db() as conn:
cur = get_cursor(conn)
for row in reader:
try:
date = row.get('Start')[:10] if row.get('Start') else None
if not date:
skipped += 1
continue
# Extract baseline vitals from Apple Health export
rhr = row.get('Resting Heart Rate')
hrv = row.get('Heart Rate Variability')
vo2 = row.get('VO2 Max')
spo2 = row.get('Oxygen Saturation')
resp_rate = row.get('Respiratory Rate')
# Skip if no baseline vitals
if not any([rhr, hrv, vo2, spo2, resp_rate]):
skipped += 1
continue
# Upsert
cur.execute("""
INSERT INTO vitals_baseline (
profile_id, date,
resting_hr, hrv, vo2_max, spo2, respiratory_rate,
source
) VALUES (%s, %s, %s, %s, %s, %s, %s, 'apple_health')
ON CONFLICT (profile_id, date)
DO UPDATE SET
resting_hr = COALESCE(EXCLUDED.resting_hr, vitals_baseline.resting_hr),
hrv = COALESCE(EXCLUDED.hrv, vitals_baseline.hrv),
vo2_max = COALESCE(EXCLUDED.vo2_max, vitals_baseline.vo2_max),
spo2 = COALESCE(EXCLUDED.spo2, vitals_baseline.spo2),
respiratory_rate = COALESCE(EXCLUDED.respiratory_rate, vitals_baseline.respiratory_rate),
updated_at = NOW()
WHERE vitals_baseline.source != 'manual'
RETURNING (xmax = 0) AS inserted
""", (
pid, date,
int(rhr) if rhr else None,
int(hrv) if hrv else None,
float(vo2) if vo2 else None,
int(spo2) if spo2 else None,
float(resp_rate) if resp_rate else None
))
result = cur.fetchone()
if result and result['inserted']:
inserted += 1
else:
updated += 1
except Exception as e:
logger.error(f"Error importing row: {e}")
errors += 1
return {
"inserted": inserted,
"updated": updated,
"skipped": skipped,
"errors": errors
}