a207-report-mcp

a207-report-mcp

Aggregates pediatric CKD patient data from multiple modules to generate unified timeline reports with structured sections, markdown summary, and overall status. Enables clinicians to obtain a comprehensive patient snapshot.

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Visit Server

README

a207-report-mcp（M9 · 患者报告聚合）

儿童 CKD 患者报告聚合 MCP。对应 PCP 契约 patient_report 输出位。Batch C 交付包（与 M4 随访配对）。

工具清单

工具 类型 权限 说明
generate_patient_report 读 全 caller 聚合 M2(LIS)/M3(评估)/M4(随访)/M8(风险) 输出，生成统一时间线报告（结构化章节 + markdown 文案 + 整体状态）

设计原则

  • 零跨包 import：M9 不反向查询任何 a207-* 包。各上游数据由编排层（router / PCP）显式传入：
    • demographics：{age_years, sex, ckd_stage, dialysis_mode}
    • lab_summary：来自 M2（LIS）最新化验
    • nutrition_assessment：来自 M3（评估）PRNT 目标 / 摄入达成率 / PEW
    • followup_summary：来自 M4（随访）记录 / 计划 / 依从性
    • pew_history：来自 M3 get_pew_history（ADR-007：存储归属 M3）
    • risk_level：来自 M8（风险规则）等级（L0-L3）
  • M9 只做结构化聚合与文案生成，是 Batch C 的"聚合 facade"。

整体状态推导

overall_status 由以下信号合成（任一触发即升级）：

  • 风险等级 L1/high → critical（紧急）；L2/L3/medium → caution（需关注）；L0/low/none → 基线 stable
  • PEW 历史趋势 worsening（来自 M3，ADR-007）→ 至少 caution
  • 营养摄入达成率 energy_pct < 50% → 至少 caution

输出 summary_markdown 含七节：基本信息 / 最新化验 / 营养评估 / 随访与依从 / PEW 历史 / 风险等级 / 综合结论。

验证

python -m py_compile src/a207_report_mcp/*.py
python tests/test_tools.py   # 全部断言应全过

已知缺口（非阻断）

  • 报告为"快照聚合"，不含历史版本管理；多时间点对比由调用方多次调用拼装。
  • 不消费 M10 通知能力（提醒外发在 Batch D）。

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