Coding

iaiops-clinical

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Check isolation room pressure and medical gas source pressure against ASHRAE 170, NFPA 99, and HTM 02-01 standards.

What it does

Read-only clinical facility monitoring for hospitals. Connects to BACnet/IP BMS (isolation-room pressurization, medical-gas monitoring), Modbus (alarm panels, energy meters), and OPC-UA (plant SCADA). Three safety checks analyze pressure differentials, gas/vacuum source levels, and OR ventilation against healthcare compliance thresholds. Read-first design; the only write tool requires dry-run and dual approval.

When to use it

  • Inspecting isolation room pressure differentials in AII/PE rooms
  • Checking medical oxygen and vacuum source pressures against NFPA 99
  • Auditing operating room temperature, humidity, and air-change rates
  • Triaging BMS alarms across a hospital facility

The skill document

iaiops-clinical — 医疗设施 edition（BACnet + Modbus + OPC-UA + 脑）

启动：IAIOPS_MCP=clinical / iaiops-mcp-clinical（= bacnet + modbus + opcua + 脑； 等价显式写法 IAIOPS_MCP=bacnet,modbus,opcua）。BACnet 需 extra： pip install iaiops[bacnet]。典型现场：楼宇/暖通/隔离房压力走 BACnet BMS,医用气体 报警屏/表计走 Modbus,全院 SCADA 走 OPC-UA。

为什么单列 edition：医院设施科的关注点是患者安全(隔离房压力、医用气体), 买家/合规(NFPA 99、感控)与普通楼宇物业不同 —— 所以从 iaiops-building 升格为独立 edition。工具复用同一套楼宇/BACnet + 脑,叠加两个临床安全检查。

工具

临床安全检查（healthcare-facility;纯分析、只读、患者安全导向）

  • isolation_room_check — 隔离病房压差合规（ASHRAE 170 / CDC：空气传染隔离 AII 负压、 保护性环境 PE 正压,≥2.5 Pa）。检出 reversed(反向,可上报安全事件)/breach/low_margin, worst-first,每项引用读数。读数来自 bacnet_read_points 的压差 AI 点或历史库。
  • medical_gas_check — 医用气体/真空源压力合规（NFPA 99 / HTM 02-01：O2/医用空气/N2O ~345–380 kPa、医用真空须够深）。检出 low_pressure / high_pressure / insufficient_vacuum / critical,worst-first,引用数值。读数来自 BACnet AI 点或气体报警屏。
  • or_environment_check — 手术室通风合规（ASHRAE 170 Table 7.1：温度 20–24°C、相对湿度 20–60%、换气 ≥20 ACH）。逐参数越界即 breach,worst-first,引用数值。读数来自 BACnet/BMS。

BACnet/IP（read-first;BMS / 暖通 / 压力 / 气体点）

  • bacnet_discover — Who-Is：本地 BACnet/IP 网上的设备
  • bacnet_object_list — 设备的 object/point 列表
  • bacnet_read_property — 单对象属性（默认 presentValue）
  • bacnet_read_points — 所有 analog/binary/multistate 点的 presentValue（压差/气体压力快照）
  • bacnet_cov_subscribe — 单对象有界 Change-of-Value 捕获
  • bacnet_read_trend_log — 读设备 TrendLog 缓冲记录
  • bacnet_write_property — [WRITE][HIGH][MOC] 写单对象属性（默认 dry_run=True + 双确认）

Modbus-TCP / RTU（只读;医用气体报警屏、能耗表）

  • modbus_read_holding modbus_read_input modbus_read_coils modbus_read_discrete
  • modbus_detect_byte_order — 字节/字序自动探测
  • modbus_list_templates / modbus_apply_template — 厂商寄存器模板 → 命名 tag
  • modbus_health_summary — 寄存器 vs 阈值分类

OPC-UA（只读;全院 SCADA / PLC 网关）

  • opcua_server_info / opcua_browse / opcua_read_node / opcua_read_many
  • opcua_subscribe_sample opcua_read_alarms opcua_alarm_events(A&C 带时间戳) opcua_read_history(HDA)
  • opcua_diagnose_connection — 连接失败归因;opcua_discover_tags 语义资产建模; opcua_health_summary 阈值分类;opcua_anomaly_scan 有界统计异常扫描

跨协议脑（永远随 server 暴露）

  • 诊断：diagnose_dataflow downtime_root_cause downtime_root_cause_live downtime_triage learn_cause_weights rca_corpus_from_maintenance historian_health alarm_bad_actors tag_health subscription_health heartbeat_health alarm_flood_analysis alarm_cascade alarm_rationalization_worksheet
  • 预测维护：pdm_forecast —— 制冷/空压/真空泵趋势 + 到限时间
  • 数据质量：data_quality_scorecard data_quality_fleet_rollup
  • 分析：oee_compute downtime_events oee_multidim monitor_changes
  • 资产：asset_inventory cross_protocol_asset_model adopt_alias_map diff_alias_map
  • 基线：baseline_learn baseline_check baseline_record_change baseline_status
  • 合规/信创：compliance_mapping compliance_frameworks compliance_dengbao_levels compliance_report compliance_evidence_bundle historian_push export_data historian_query historian_coverage stream_publish stream_publish_event rca_narrate fleet_status fleet_incidents
  • 程序解读：plc_program_outline plc_program_xref plc_program_section plc_program_visibility
  • 元：protocols_supported

Workflows

  1. Doctor-first：protocols_supported → iaiops doctor → BACnet 先 bacnet_discover。
  2. 患者安全巡检：bacnet_read_points 读隔离房压差 AI 点 → isolation_room_check; 读医用气体源压力点 → medical_gas_check。两者 worst-first,reversed/critical 优先处置。判定仅为结构性分析,现场 NFPA 99 报警屏/感控为准。
  3. 停机/告警：设施设备停机用 downtime_triage;制冷/真空泵劣化用 pdm_forecast。
  4. MOC 写：本 edition 读优先;bacnet_write_property 为唯一写工具,统一走 MOC: risk=HIGH + 默认 dry_run=True + 改前值 undo + iaiops approve 具名审批双确认。 绝不对生命安全相关的暖通/气体系统未经授权下发。

支持版本矩阵（内部 HLD §8，设计文档不随本仓发布;待核实 不得当既成事实）

协议库(pin)规范/版本覆盖传输自测
BACnet/IPBAC0>=2023.6,<2026（extra,over bacpypes3）BACnet/IP（read + 单点写）BMS/暖通/压力/气体点UDP/47808⚠️ mock;真 BMS 待核实
Modbus-TCPpymodbus>=3.5,<4App 1.1b3;FC 1/2/3/4/5/6/15/16气体报警屏/表计/任意从站TCP/502✅
Modbus-RTUpymodbus>=3.5,<4 + pyserial>=3.5Modbus serial (RTU)串口从站/表计RS-485/serial✅ socat PTY;物理 RS-485 待核实
OPC-UAasyncua>=2.0,<3OPC UA 1.0x（DA+HA+AC 子集）全院 SCADA / PLC 网关opc.tcp✅ mock+HDA

Questions people ask

Can this write to BMS points or adjust isolation room pressure?
No. The tool surface is read-only. The only write tool (bacnet_write_property) defaults to dry-run mode and requires dual approval before any change is applied. Writing to life-safety HVAC or gas systems is explicitly prevented.
What protocols does it support?
BACnet/IP for BMS and pressure sensors, Modbus-TCP/RTU for medical gas alarm panels and energy meters, and OPC-UA for plant SCADA systems. A cross-protocol diagnostic layer runs on top of all three.
Which safety standards do the clinical checks reference?
isolation_room_check references ASHRAE 170 and CDC guidance for negative/positive pressure ≥2.5 Pa. medical_gas_check references NFPA 99 and HTM 02-01 for O2, medical air, and vacuum source pressures. or_environment_check references ASHRAE 170 Table 7.1 for OR temperature, humidity, and ACH.

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