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Your Name
2026-05-29 14:45:56 +08:00
parent 94e787ae80
commit 17ad153821
9 changed files with 1795 additions and 623 deletions
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TUICallKit-Vue3/tongji/composables/useDietAi.js
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@@ -0,0 +1,312 @@
import { ref, computed } from 'vue'
import { requestAiStream, parsePartialDietPlainText } from '../utils/aiStreamRequest.js'
const DIET_AI_PREFILL_KEY = 'tongji_diet_ai_prefill'
const emptyDietAiRecommend = () => ({
breakfast: '',
lunch: '',
dinner: '',
tips: '',
avoid: [],
analysis: [],
exercise: null,
disclaimer: '',
rules_summary: '',
source: '',
date: ''
})
/** AI 饮食助手（今日推荐 + 能不能吃） */
export function useDietAi(proxy, { diagnosisId, showUserToast, formatUserMessage }) {
const dietAiRecommend = ref(emptyDietAiRecommend())
const dietAiLoading = ref(false)
const dietAiStreaming = ref(false)
const dietAiReplacing = ref(false)
const dietAiStreamField = ref('')
let dietStreamBuffer = ''
const dietAiAskText = ref('')
const dietAiAsking = ref(false)
const dietAiAskResult = ref({ advice: '', level: '', level_label: '', portion: '', food: '' })
const hasDietAiMealContent = computed(() => {
const r = dietAiRecommend.value
return !!(r.breakfast || r.lunch || r.dinner || r.tips)
})
function detectDietStreamField(text) {
const tail = String(text || '').match(/(?:^|\n)(早餐|午餐|晚餐|提示|少碰)[：:]\s*([^\n]*)$/)
if (!tail) return 'breakfast'
const map = { '早餐': 'breakfast', '午餐': 'lunch', '晚餐': 'dinner', '提示': 'tips', '少碰': 'tips' }
return map[tail[1]] || 'breakfast'
}
function mergePartialDietFromStream() {
const partial = parsePartialDietPlainText(dietStreamBuffer)
const next = { ...dietAiRecommend.value }
for (const key of ['breakfast', 'lunch', 'dinner', 'tips']) {
if (partial[key] != null) next[key] = partial[key]
}
if (Array.isArray(partial.avoid)) next.avoid = partial.avoid
dietAiRecommend.value = next
dietAiStreamField.value = detectDietStreamField(dietStreamBuffer)
}
function applyDietRecommendPayload(payload) {
if (!payload) return
const prevAnalysis = dietAiRecommend.value.analysis
const prevExercise = dietAiRecommend.value.exercise
dietAiRecommend.value = {
...emptyDietAiRecommend(),
...payload,
avoid: Array.isArray(payload.avoid) ? payload.avoid : [],
analysis: Array.isArray(payload.analysis) && payload.analysis.length
? payload.analysis
: (Array.isArray(prevAnalysis) ? prevAnalysis : []),
exercise: (payload.exercise && typeof payload.exercise === 'object')
? payload.exercise
: (prevExercise || null)
}
}
function resolveDietDonePayload(payload) {
if (!payload) return payload
if (payload.source !== 'rule' || !dietStreamBuffer) return payload
const streamed = parsePartialDietPlainText(dietStreamBuffer)
if (!streamed.breakfast) return payload
return {
...emptyDietAiRecommend(),
...payload,
breakfast: streamed.breakfast,
lunch: streamed.lunch || payload.lunch || '',
dinner: streamed.dinner || payload.dinner || '',
tips: streamed.tips || payload.tips || '',
avoid: (Array.isArray(streamed.avoid) && streamed.avoid.length) ? streamed.avoid : (payload.avoid || []),
source: 'ai',
disclaimer: 'AI 建议供参考，仍请结合医嘱与血糖监测。'
}
}
function onDietAiStreamEvent(event, payload) {
if (event === 'analysis') {
if (Array.isArray(payload?.analysis)) {
dietAiRecommend.value = { ...dietAiRecommend.value, analysis: payload.analysis }
}
} else if (event === 'exercise') {
if (payload?.exercise && typeof payload.exercise === 'object') {
dietAiRecommend.value = { ...dietAiRecommend.value, exercise: payload.exercise }
}
} else if (event === 'delta') {
dietAiStreaming.value = true
if (payload.buffer != null) {
dietStreamBuffer = payload.buffer
} else {
dietStreamBuffer += payload.text || ''
}
mergePartialDietFromStream()
} else if (event === 'done') {
applyDietRecommendPayload(resolveDietDonePayload(payload))
dietStreamBuffer = ''
dietAiStreamField.value = ''
} else if (event === 'error') {
showUserToast(formatUserMessage(payload?.message, '饮食建议加载失败'))
}
}
async function fetchDietAiRecommendFallback(refresh) {
const res = await proxy.apiUrl({
url: '/api/tcm/dailyDietAiRecommend',
method: 'GET',
timeout: 35000,
data: {
diagnosis_id: diagnosisId.value,
refresh: refresh ? 1 : 0,
...(refresh ? { _t: Date.now() } : {})
}
}, false)
if (res?.code === 1 && res.data) {
applyDietRecommendPayload(res.data)
} else if (res?.msg) {
showUserToast(res.msg)
}
}
async function fetchDietAiRecommend(refresh = false) {
if (!diagnosisId.value || dietAiLoading.value) return
dietAiLoading.value = true
dietAiStreaming.value = false
dietAiReplacing.value = !!refresh
dietStreamBuffer = ''
dietAiStreamField.value = ''
if (refresh) {
applyDietRecommendPayload(emptyDietAiRecommend())
}
try {
await requestAiStream({
baseUrl: proxy.$url,
url: '/api/tcm/dailyDietAiRecommendStream',
method: 'GET',
data: {
diagnosis_id: diagnosisId.value,
refresh: refresh ? 1 : 0,
...(refresh ? { _t: Date.now() } : {})
},
onEvent: onDietAiStreamEvent,
fallback: () => fetchDietAiRecommendFallback(refresh)
})
} catch (e) {
try {
await fetchDietAiRecommendFallback(refresh)
} catch (e2) {
showUserToast('饮食建议加载失败')
}
} finally {
dietAiLoading.value = false
dietAiStreaming.value = false
dietAiReplacing.value = false
dietAiStreamField.value = ''
}
}
function refreshDietAiRecommend() {
if (dietAiLoading.value) return
fetchDietAiRecommend(true)
}
async function askDietAiFoodFallback(q) {
const res = await proxy.apiUrl({
url: '/api/tcm/dailyDietAiAsk',
method: 'POST',
timeout: 35000,
data: {
diagnosis_id: diagnosisId.value,
question: q
}
}, false)
if (res?.code === 1 && res.data) {
dietAiAskResult.value = {
advice: res.data.advice || '',
level: res.data.level || '',
level_label: res.data.level_label || '',
portion: res.data.portion || '',
food: res.data.food || q
}
} else {
showUserToast(formatUserMessage(res?.msg, '咨询失败'))
}
}
async function askDietAiFood() {
const q = String(dietAiAskText.value || '').trim()
if (!q) {
showUserToast('请输入想咨询的食物')
return
}
if (!diagnosisId.value) return
dietAiAsking.value = true
dietAiAskResult.value = { advice: '', level: '', level_label: '', portion: '', food: '' }
try {
await requestAiStream({
baseUrl: proxy.$url,
url: '/api/tcm/dailyDietAiAskStream',
method: 'POST',
data: {
diagnosis_id: diagnosisId.value,
question: q
},
onEvent: (event, payload) => {
if (event === 'start' && !dietAiAskResult.value.advice) {
dietAiAskResult.value = { ...dietAiAskResult.value, advice: payload.message || '正在想…' }
} else if (event === 'delta') {
dietAiAskResult.value = {
...dietAiAskResult.value,
advice: payload.advice || dietAiAskResult.value.advice
}
} else if (event === 'done') {
dietAiAskResult.value = {
advice: payload.advice || '',
level: payload.level || '',
level_label: payload.level_label || '',
portion: payload.portion || '',
food: payload.food || q
}
} else if (event === 'error') {
showUserToast(formatUserMessage(payload?.message, '咨询失败'))
}
},
fallback: () => askDietAiFoodFallback(q)
})
} catch (e) {
try {
await askDietAiFoodFallback(q)
} catch (e2) {
showUserToast('网络异常，请稍后再试')
}
} finally {
dietAiAsking.value = false
}
}
function onDietAiAskInput(e) {
dietAiAskText.value = e?.detail?.value ?? ''
}
function saveDietPrefillToStorage() {
const r = dietAiRecommend.value
if (!r.breakfast) return
try {
uni.setStorageSync(DIET_AI_PREFILL_KEY, {
breakfast: r.breakfast,
lunch: r.lunch,
dinner: r.dinner,
tips: r.tips || ''
})
} catch (e) {}
}
function goMoreDietForm(withPrefill = false) {
if (withPrefill) saveDietPrefillToStorage()
uni.navigateTo({ url: '/tongji/pages/more?openDiet=1' })
}
async function applyDietAiToForm() {
if (!dietAiRecommend.value.breakfast) {
await fetchDietAiRecommend(false)
}
goMoreDietForm(true)
}
function openDietForm() {
goMoreDietForm(false)
}
return {
dietAiRecommend,
dietAiLoading,
dietAiStreaming,
dietAiReplacing,
dietAiStreamField,
dietAiAskText,
dietAiAsking,
dietAiAskResult,
hasDietAiMealContent,
fetchDietAiRecommend,
refreshDietAiRecommend,
askDietAiFood,
onDietAiAskInput,
applyDietAiToForm,
openDietForm
}
}
/** more 页打开饮食表单时读取并清除预填 */
export function consumeDietAiPrefill() {
try {
const data = uni.getStorageSync(DIET_AI_PREFILL_KEY)
uni.removeStorageSync(DIET_AI_PREFILL_KEY)
if (data && typeof data === 'object' && data.breakfast) return data
} catch (e) {}
return null
}
TUICallKit-Vue3/tongji/pages/index.vue
+973 -2
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TUICallKit-Vue3/tongji/pages/more.vue
+18 -539
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@@ -33,90 +33,6 @@
</view>
</view>
<!-- AI 饮食助手（霍大夫升糖指数） -->
<view v-if="diagnosisId" class="card ai-diet-card">
<view class="card-head ai-diet-head">
<view class="card-head-left">
<text class="card-title">AI 饮食助手</text>
<text class="card-subtitle">午饭多蛋白 · 淀粉不重复</text>
</view>
<view class="ai-diet-refresh" :class="{ disabled: dietAiLoading }" @click="refreshDietAiRecommend">
<TongjiIcon name="refresh" size="sm" color="#386641" />
<text>{{ dietAiLoading ? '生成中' : '换一换' }}</text>
</view>
</view>
<view v-if="dietAiLoading && !hasDietAiMealContent && !dietAiStreaming && !dietAiReplacing" class="ai-diet-loading">
<text>正在生成今日饮食建议…</text>
</view>
<view v-else class="ai-diet-meals" :class="{ 'is-streaming': dietAiStreaming }">
<view class="ai-diet-meal">
<text class="ai-diet-meal-tag">早餐</text>
<text class="ai-diet-meal-text">
{{ dietAiRecommend.breakfast || (dietAiLoading ? '…' : '—') }}<text v-if="dietAiLoading && dietAiStreamField === 'breakfast'" class="ai-stream-cursor">▍</text>
</text>
</view>
<view class="ai-diet-meal">
<text class="ai-diet-meal-tag">午餐</text>
<text class="ai-diet-meal-text">
{{ dietAiRecommend.lunch || (dietAiLoading ? '…' : '—') }}<text v-if="dietAiLoading && dietAiStreamField === 'lunch'" class="ai-stream-cursor">▍</text>
</text>
</view>
<view class="ai-diet-meal">
<text class="ai-diet-meal-tag">晚餐</text>
<text class="ai-diet-meal-text">
{{ dietAiRecommend.dinner || (dietAiLoading ? '…' : '—') }}<text v-if="dietAiLoading && dietAiStreamField === 'dinner'" class="ai-stream-cursor">▍</text>
</text>
</view>
<text v-if="dietAiRecommend.tips || (dietAiLoading && dietAiStreamField === 'tips')" class="ai-diet-tips">
{{ dietAiRecommend.tips || '…' }}<text v-if="dietAiLoading && dietAiStreamField === 'tips'" class="ai-stream-cursor">▍</text>
</text>
<view v-if="dietAiRecommend.avoid && dietAiRecommend.avoid.length" class="ai-diet-avoid">
<text class="ai-diet-avoid-label">今日尽量少碰：</text>
<text class="ai-diet-avoid-text">{{ dietAiRecommend.avoid.join('、') }}</text>
</view>
<view v-if="!dietAiLoading" class="ai-diet-actions">
<view class="ai-diet-btn" @click="applyDietAiToForm">
<text>填入今日饮食</text>
</view>
<view class="ai-diet-btn outline" @click="openDietForm">
<text>手动记录</text>
</view>
</view>
</view>
<view class="ai-diet-ask">
<text class="ai-diet-ask-title">能不能吃？</text>
<view class="ai-diet-ask-row">
<input
class="ai-diet-ask-input"
type="text"
:value="dietAiAskText"
placeholder="如：白馒头、地瓜、粘豆包"
placeholder-class="input-placeholder"
confirm-type="search"
@input="onDietAiAskInput"
@confirm="askDietAiFood"
/>
<view class="ai-diet-ask-btn" :class="{ disabled: dietAiAsking }" @click="askDietAiFood">
<text>{{ dietAiAsking ? '…' : '问 AI' }}</text>
</view>
</view>
<view v-if="dietAiAsking || dietAiAskResult.advice" class="ai-diet-ask-result">
<view v-if="dietAiAskResult.level_label" class="ai-diet-ask-badge" :class="'lv-' + (dietAiAskResult.level || 'unknown')">
<text>{{ dietAiAskResult.level_label }}</text>
</view>
<text class="ai-diet-ask-advice">
{{ dietAiAskResult.advice || (dietAiAsking ? '正在想…' : '') }}<text v-if="dietAiAsking" class="ai-stream-cursor">▍</text>
</text>
<text v-if="dietAiAskResult.portion" class="ai-diet-ask-portion">建议：{{ dietAiAskResult.portion }}</text>
</view>
</view>
<text v-if="dietAiRecommend.rules_summary" class="ai-diet-rules">{{ dietAiRecommend.rules_summary }}</text>
<text v-if="dietAiRecommend.disclaimer" class="ai-diet-disclaimer">{{ dietAiRecommend.disclaimer }}</text>
</view>
<!-- 血糖历史：日历 · 明细 -->
<view v-if="diagnosisId" class="glucose-history-block">
<view class="range-bar">
@@ -745,9 +661,9 @@
</view>
<view v-if="dietForm.loading" class="input-modal-loading"><text>加载中…</text></view>
<scroll-view v-else scroll-y class="input-modal-body">
<view v-if="dietAiRecommend.breakfast" class="input-modal-ai-tip">
<view v-if="dietAiPrefill && dietAiPrefill.breakfast" class="input-modal-ai-tip">
<text class="input-modal-ai-tip-label">AI 推荐</text>
<text class="input-modal-ai-tip-text">早 {{ dietAiRecommend.breakfast }} · 午 {{ dietAiRecommend.lunch }} · 晚 {{ dietAiRecommend.dinner }}</text>
<text class="input-modal-ai-tip-text">早 {{ dietAiPrefill.breakfast }} · 午 {{ dietAiPrefill.lunch }} · 晚 {{ dietAiPrefill.dinner }}</text>
<view class="input-modal-ai-tip-btn" @click="fillDietFormFromAi">
<text>一键填入</text>
</view>
@@ -882,7 +798,7 @@ import SugarTreeGraphic from '../components/SugarTreeGraphic.vue'
import TongjiIcon from '../components/TongjiIcon.vue'
import CelebrateBurst from '../components/CelebrateBurst.vue'
import { TREE_LEVELS, TREE_MAX_LEVEL, calcTreeFromPoints, pickTreeWhisper } from '../utils/treeLevels.js'
import { requestAiStream, parsePartialDietPlainText } from '../utils/aiStreamRequest.js'
import { consumeDietAiPrefill } from '../composables/useDietAi.js'
const { proxy } = getCurrentInstance()
@@ -1529,7 +1445,6 @@ async function fetchAll() {
// 拉取游戏化积分/小树状态
await fetchGamifyState()
await loadFamilyLikeSummary()
await fetchDietAiRecommend(false)
} catch (e) {
uni.showToast({ title: '加载失败，请稍后再试', icon: 'none' })
} finally {
@@ -1981,239 +1896,11 @@ const emptyDietForm = () => ({
note: ''
})
const dietForm = ref(emptyDietForm())
const emptyDietAiRecommend = () => ({
breakfast: '',
lunch: '',
dinner: '',
tips: '',
avoid: [],
disclaimer: '',
rules_summary: '',
source: '',
date: ''
})
const dietAiRecommend = ref(emptyDietAiRecommend())
const dietAiLoading = ref(false)
const dietAiStreaming = ref(false)
const dietAiReplacing = ref(false)
const dietAiStreamField = ref('')
let dietStreamBuffer = ''
const dietAiAskText = ref('')
const dietAiAsking = ref(false)
const dietAiAskResult = ref({ advice: '', level: '', level_label: '', portion: '', food: '' })
const hasDietAiMealContent = computed(() => {
const r = dietAiRecommend.value
return !!(r.breakfast || r.lunch || r.dinner || r.tips)
})
function detectDietStreamField(text) {
const tail = String(text || '').match(/(?:^|\n)(早餐|午餐|晚餐|提示|少碰)[：:]\s*([^\n]*)$/)
if (!tail) return 'breakfast'
const map = { '早餐': 'breakfast', '午餐': 'lunch', '晚餐': 'dinner', '提示': 'tips', '少碰': 'tips' }
return map[tail[1]] || 'breakfast'
}
function mergePartialDietFromStream() {
const partial = parsePartialDietPlainText(dietStreamBuffer)
const next = { ...dietAiRecommend.value }
for (const key of ['breakfast', 'lunch', 'dinner', 'tips']) {
if (partial[key] != null) next[key] = partial[key]
}
if (Array.isArray(partial.avoid)) next.avoid = partial.avoid
dietAiRecommend.value = next
dietAiStreamField.value = detectDietStreamField(dietStreamBuffer)
}
function applyDietRecommendPayload(payload) {
if (!payload) return
dietAiRecommend.value = {
...emptyDietAiRecommend(),
...payload,
avoid: Array.isArray(payload.avoid) ? payload.avoid : []
}
}
/** 流式已展示 AI 内容时，避免 done 用规则模板覆盖 */
function resolveDietDonePayload(payload) {
if (!payload) return payload
if (payload.source !== 'rule' || !dietStreamBuffer) return payload
const streamed = parsePartialDietPlainText(dietStreamBuffer)
if (!streamed.breakfast) return payload
return {
...emptyDietAiRecommend(),
...payload,
breakfast: streamed.breakfast,
lunch: streamed.lunch || payload.lunch || '',
dinner: streamed.dinner || payload.dinner || '',
tips: streamed.tips || payload.tips || '',
avoid: (Array.isArray(streamed.avoid) && streamed.avoid.length) ? streamed.avoid : (payload.avoid || []),
source: 'ai',
disclaimer: 'AI 建议供参考，仍请结合医嘱与血糖监测。'
}
}
function onDietAiStreamEvent(event, payload) {
if (event === 'delta') {
dietAiStreaming.value = true
if (payload.buffer != null) {
dietStreamBuffer = payload.buffer
} else {
dietStreamBuffer += payload.text || ''
}
mergePartialDietFromStream()
} else if (event === 'done') {
applyDietRecommendPayload(resolveDietDonePayload(payload))
dietStreamBuffer = ''
dietAiStreamField.value = ''
} else if (event === 'error') {
showUserToast(formatUserMessage(payload?.message, '饮食建议加载失败'))
}
}
async function fetchDietAiRecommendFallback(refresh) {
const res = await proxy.apiUrl({
url: '/api/tcm/dailyDietAiRecommend',
method: 'GET',
timeout: 35000,
data: {
diagnosis_id: diagnosisId.value,
refresh: refresh ? 1 : 0,
...(refresh ? { _t: Date.now() } : {})
}
}, false)
if (res?.code === 1 && res.data) {
applyDietRecommendPayload(res.data)
} else if (res?.msg) {
showUserToast(res.msg)
}
}
async function fetchDietAiRecommend(refresh = false) {
if (!diagnosisId.value || dietAiLoading.value) return
dietAiLoading.value = true
dietAiStreaming.value = false
dietAiReplacing.value = !!refresh
dietStreamBuffer = ''
dietAiStreamField.value = ''
if (refresh) {
applyDietRecommendPayload(emptyDietAiRecommend())
}
try {
await requestAiStream({
baseUrl: proxy.$url,
url: '/api/tcm/dailyDietAiRecommendStream',
method: 'GET',
data: {
diagnosis_id: diagnosisId.value,
refresh: refresh ? 1 : 0,
...(refresh ? { _t: Date.now() } : {})
},
onEvent: onDietAiStreamEvent,
fallback: () => fetchDietAiRecommendFallback(refresh)
})
} catch (e) {
try {
await fetchDietAiRecommendFallback(refresh)
} catch (e2) {
showUserToast('饮食建议加载失败')
}
} finally {
dietAiLoading.value = false
dietAiStreaming.value = false
dietAiReplacing.value = false
dietAiStreamField.value = ''
}
}
function refreshDietAiRecommend() {
if (dietAiLoading.value) return
fetchDietAiRecommend(true)
}
async function askDietAiFoodFallback(q) {
const res = await proxy.apiUrl({
url: '/api/tcm/dailyDietAiAsk',
method: 'POST',
timeout: 35000,
data: {
diagnosis_id: diagnosisId.value,
question: q
}
}, false)
if (res?.code === 1 && res.data) {
dietAiAskResult.value = {
advice: res.data.advice || '',
level: res.data.level || '',
level_label: res.data.level_label || '',
portion: res.data.portion || '',
food: res.data.food || q
}
} else {
showUserToast(formatUserMessage(res?.msg, '咨询失败'))
}
}
async function askDietAiFood() {
const q = String(dietAiAskText.value || '').trim()
if (!q) {
showUserToast('请输入想咨询的食物')
return
}
if (!diagnosisId.value) return
dietAiAsking.value = true
dietAiAskResult.value = { advice: '', level: '', level_label: '', portion: '', food: '' }
try {
await requestAiStream({
baseUrl: proxy.$url,
url: '/api/tcm/dailyDietAiAskStream',
method: 'POST',
data: {
diagnosis_id: diagnosisId.value,
question: q
},
onEvent: (event, payload) => {
if (event === 'start' && !dietAiAskResult.value.advice) {
dietAiAskResult.value = { ...dietAiAskResult.value, advice: payload.message || '正在想…' }
} else if (event === 'delta') {
dietAiAskResult.value = {
...dietAiAskResult.value,
advice: payload.advice || dietAiAskResult.value.advice
}
} else if (event === 'done') {
dietAiAskResult.value = {
advice: payload.advice || '',
level: payload.level || '',
level_label: payload.level_label || '',
portion: payload.portion || '',
food: payload.food || q
}
} else if (event === 'error') {
showUserToast(formatUserMessage(payload?.message, '咨询失败'))
}
},
fallback: () => askDietAiFoodFallback(q)
})
} catch (e) {
try {
await askDietAiFoodFallback(q)
} catch (e2) {
showUserToast('网络异常，请稍后再试')
}
} finally {
dietAiAsking.value = false
}
}
function onDietAiAskInput(e) {
dietAiAskText.value = e?.detail?.value ?? ''
}
const dietAiPrefill = ref(null)
function fillDietFormFromAi() {
const r = dietAiRecommend.value
const r = dietAiPrefill.value
if (!r) return
if (r.breakfast) dietForm.value.breakfast_foods = r.breakfast
if (r.lunch) dietForm.value.lunch_foods = r.lunch
if (r.dinner) dietForm.value.dinner_foods = r.dinner
@@ -2223,19 +1910,15 @@ function fillDietFormFromAi() {
}
}
async function applyDietAiToForm() {
if (!dietAiRecommend.value.breakfast) {
await fetchDietAiRecommend(false)
}
await openDietForm()
fillDietFormFromAi()
}
function onDietField(field, e) {
dietForm.value[field] = e?.detail?.value ?? ''
}
async function openDietForm() {
async function openDietForm(options = {}) {
const autoFill = !!options.autoFill
if (!dietAiPrefill.value) {
dietAiPrefill.value = consumeDietAiPrefill()
}
if (!diagnosisId.value) {
showUserToast('请先选择就诊卡')
return
@@ -2264,12 +1947,16 @@ async function openDietForm() {
} catch (e) {}
finally {
dietForm.value.loading = false
if (autoFill && dietAiPrefill.value?.breakfast) {
fillDietFormFromAi()
}
}
}
function closeDietForm() {
if (dietForm.value.submitting) return
dietForm.value.visible = false
dietAiPrefill.value = null
nextTick(() => {})
}
@@ -3165,6 +2852,9 @@ async function bootstrap(options) {
authChecking.value = false
await fetchAll()
if (options.openDiet === '1' || options.openDiet === 1) {
await openDietForm({ autoFill: true })
}
}
onLoad((options) => {
@@ -6983,217 +6673,6 @@ function onFamilyLikeStripTap() {
@import '../styles/daily-theme.scss';
.ai-diet-card {
margin: 24rpx 24rpx 0;
}
.ai-diet-head {
align-items: flex-start;
}
.ai-diet-refresh {
display: flex;
align-items: center;
gap: 8rpx;
padding: 12rpx 20rpx;
border-radius: 999rpx;
border: 2rpx solid rgba(32, 78, 43, 0.25);
background: #fff;
color: var(--primary);
font-size: 24rpx;
font-weight: 600;
}
.ai-diet-refresh.disabled {
opacity: 0.5;
}
.ai-diet-loading {
padding: 32rpx 0;
text-align: center;
color: var(--primary-container);
font-size: 28rpx;
}
.ai-diet-meals {
padding-top: 8rpx;
}
.ai-diet-meals.is-streaming .ai-diet-meal-text {
transition: color 0.15s ease;
}
.ai-diet-meal {
display: flex;
gap: 16rpx;
align-items: flex-start;
padding: 16rpx 0;
border-bottom: 1rpx solid rgba(32, 78, 43, 0.08);
}
.ai-diet-meal:last-of-type {
border-bottom: none;
}
.ai-diet-meal-tag {
flex-shrink: 0;
min-width: 72rpx;
padding: 6rpx 12rpx;
border-radius: 12rpx;
background: #fff;
border: 2rpx solid var(--primary);
color: var(--primary);
font-size: 24rpx;
font-weight: 700;
text-align: center;
}
.ai-diet-meal-text {
flex: 1;
font-size: 28rpx;
line-height: 1.55;
color: #1b1c1a;
}
.ai-diet-tips {
display: block;
margin-top: 16rpx;
font-size: 26rpx;
line-height: 1.5;
color: var(--primary-container);
}
.ai-diet-avoid {
margin-top: 12rpx;
padding: 16rpx;
border-radius: 16rpx;
background: rgba(220, 38, 38, 0.06);
border: 1rpx solid rgba(220, 38, 38, 0.12);
}
.ai-diet-avoid-label {
font-size: 24rpx;
color: #b91c1c;
font-weight: 600;
}
.ai-diet-avoid-text {
font-size: 26rpx;
color: #991b1b;
}
.ai-diet-actions {
display: flex;
gap: 16rpx;
margin-top: 24rpx;
}
.ai-diet-btn {
flex: 1;
min-height: 80rpx;
display: flex;
align-items: center;
justify-content: center;
border-radius: 20rpx;
background: #fff;
border: 2rpx solid var(--primary);
color: var(--primary);
font-size: 28rpx;
font-weight: 700;
}
.ai-diet-btn.outline {
border-color: rgba(32, 78, 43, 0.25);
color: var(--primary-container);
}
.ai-diet-ask {
margin-top: 28rpx;
padding-top: 24rpx;
border-top: 1rpx solid rgba(32, 78, 43, 0.1);
}
.ai-diet-ask-title {
display: block;
font-size: 28rpx;
font-weight: 700;
color: var(--primary);
margin-bottom: 16rpx;
}
.ai-diet-ask-row {
display: flex;
gap: 12rpx;
align-items: center;
}
.ai-diet-ask-input {
flex: 1;
height: 80rpx;
padding: 0 24rpx;
border-radius: 16rpx;
background: #fff;
border: 2rpx solid rgba(32, 78, 43, 0.2);
font-size: 28rpx;
color: #1b1c1a;
}
.ai-diet-ask-btn {
flex-shrink: 0;
min-width: 128rpx;
height: 80rpx;
display: flex;
align-items: center;
justify-content: center;
border-radius: 16rpx;
background: #fff;
border: 2rpx solid var(--primary);
color: var(--primary);
font-size: 28rpx;
font-weight: 700;
}
.ai-diet-ask-btn.disabled {
opacity: 0.5;
}
.ai-diet-ask-result {
margin-top: 16rpx;
padding: 20rpx;
border-radius: 16rpx;
background: rgba(32, 78, 43, 0.04);
border: 1rpx solid rgba(32, 78, 43, 0.12);
}
.ai-diet-ask-badge {
display: inline-block;
padding: 4rpx 16rpx;
border-radius: 999rpx;
font-size: 22rpx;
font-weight: 700;
margin-bottom: 12rpx;
background: #fff;
border: 2rpx solid var(--primary);
color: var(--primary);
}
.ai-diet-ask-badge.lv-high {
border-color: #dc2626;
color: #dc2626;
}
.ai-diet-ask-badge.lv-medium {
border-color: #c77d0a;
color: #c77d0a;
}
.ai-diet-ask-advice {
display: block;
font-size: 28rpx;
line-height: 1.55;
color: #1b1c1a;
}
.ai-stream-cursor {
display: inline;
color: #386641;
animation: ai-cursor-blink 0.9s step-end infinite;
}
@keyframes ai-cursor-blink {
50% { opacity: 0; }
}
.ai-diet-ask-portion {
display: block;
margin-top: 8rpx;
font-size: 24rpx;
color: var(--primary-container);
}
.ai-diet-rules {
display: block;
margin-top: 16rpx;
font-size: 24rpx;
color: var(--primary);
line-height: 1.45;
font-weight: 600;
}
.ai-diet-disclaimer {
display: block;
margin-top: 20rpx;
font-size: 22rpx;
color: #727970;
line-height: 1.4;
}
.input-modal-ai-tip {
margin-bottom: 20rpx;
padding: 20rpx;
admin/src/components/tcm-prescription/index.vue
+148 -31
View File
@@ -518,6 +518,13 @@
</div>
<div v-else class="rx-wrap">
<el-tabs
v-model="prescriptionTabType"
class="rx-slip-tabs"
>
<el-tab-pane label="药房联" name="internal" />
<el-tab-pane label="处方联" name="user" />
</el-tabs>
<div class="rx-toolbar">
<el-tag v-if="savedPrescription.void_status === 1" type="danger" size="small">已作废</el-tag>
<el-tag v-else-if="approvedPreviewOnly" type="success" size="small">已通过</el-tag>
@@ -597,21 +604,22 @@
</div>
<div class="rx-rp">
<div class="rx-watermark">药房联</div>
<div class="rx-watermark">{{ prescriptionTabType === 'internal' ? '药房联' : '处方联' }}</div>
<div class="rx-rp-head">
<div class="rx-rp-label">Rp.</div>
<div class="rx-rp-cols-head">
<div class="rx-rp-col-head">
<span>用药 (单剂)</span>
<span>总量</span>
<span>{{ prescriptionTabType === 'user' ? '用量' : '总量' }}</span>
</div>
<div class="rx-rp-col-head">
<span>用药 (单剂)</span>
<span>总量</span>
<span>{{ prescriptionTabType === 'user' ? '用量' : '总量' }}</span>
</div>
</div>
</div>
<div class="rx-herbs">
<template v-if="prescriptionTabType === 'internal'">
<template v-if="savedMainHerbs.length">
<div class="rx-herb-section-label">主方</div>
<div
@@ -634,12 +642,38 @@
<span class="rx-herb-total">{{ rxHerbTotal(h.dosage) }}克</span>
</div>
</template>
</template>
<template v-else>
<template v-if="savedMainHerbs.length">
<div class="rx-herb-section-label">主方</div>
<div
v-for="(h, i) in savedMainHerbs"
:key="'user-main-' + i"
class="rx-herb-cell"
>
<span class="rx-herb-name">{{ h.name }}</span>
<span class="rx-herb-total">{{ h.dosage }}克</span>
</div>
</template>
<template v-if="savedAuxHerbs.length">
<div class="rx-herb-section-label rx-herb-section-label--aux">辅方</div>
<div
v-for="(h, i) in savedAuxHerbs"
:key="'user-aux-' + i"
class="rx-herb-cell"
>
<span class="rx-herb-name">{{ h.name }}</span>
<span class="rx-herb-total">{{ h.dosage }}克</span>
</div>
</template>
</template>
</div>
</div>
<div class="rx-text">
<p>主方服法：{{ rxUsageText }}</p>
<p v-if="savedAuxUsageText">辅方服法：{{ savedAuxUsageText }}</p>
<p v-if="prescriptionTabType === 'internal' || savedAuxUsageText">主方服法：{{ rxUsageText }}</p>
<p v-else>服法：{{ rxUsageText }}</p>
<p v-if="savedAuxUsageText">{{ prescriptionTabType === 'user' ? '辅服法' : '辅方服法' }}：{{ savedAuxUsageText }}</p>
<p v-if="rxAdviceText">医嘱：{{ rxAdviceText }}</p>
<p v-if="rxRemarkText">备注：{{ rxRemarkText }}</p>
<p v-if="savedPrescription.dietary_taboo && savedPrescription.dietary_taboo.length">
@@ -671,18 +705,22 @@
</div>
<div class="rx-bot-cell rx-bot-meta">
<span class="rx-bot-meta-key">天数:</span>
<span class="rx-bot-meta-val">{{ savedPrescription.dose_count || '—' }}剂</span>
<span class="rx-bot-meta-val">{{ rxSlipMedicationDaysText }}</span>
</div>
<div class="rx-bot-cell rx-bot-meta">
<span class="rx-bot-meta-key">单剂量:</span>
<span class="rx-bot-meta-key">剂量:</span>
<span class="rx-bot-meta-val">{{ rxPerDoseAmount }}克</span>
</div>
</div>
<div v-if="prescriptionTabType === 'user'" class="rx-bot-row rx-hospital-row">
<div class="rx-hospital-line">成都双流甄养堂互联网医院有限公司 联系方式：4001667339</div>
<div class="rx-hospital-line">地址：四川省成都市双流区黄甲街道黄龙大道二段280号</div>
</div>
</div>
</div>
<!-- 详细病历 - 单独A3纸张 -->
<div v-if="savedPrescription.case_record" ref="caseRecordPrintRef" class="case-record-a3">
<div v-if="savedPrescription.case_record && !hideCaseRecordPreview" ref="caseRecordPrintRef" class="case-record-a3">
<div class="case-record-a3-inner">
<h2 class="case-record-a3-title">{{ templateConfig.stationName }} 详细病历</h2>
<div class="case-record-a3-body">
@@ -1148,6 +1186,10 @@ const signatureActivePointerId = ref<number | null>(null)
const SIGNATURE_CSS_W = 560
const SIGNATURE_CSS_H = 168
const savedPrescription = ref<any>(null)
/** 预览联次：药房联 / 处方联（与消费者处方查看一致） */
const prescriptionTabType = ref<'internal' | 'user'>('internal')
/** 诊单列表「查看」仅展示处方联，不展示详细病历 A3 */
const hideCaseRecordPreview = ref(false)
/** 已通过且未作废：与消费者处方「查看」一致，仅预览，不可作废/再开新方 */
const approvedPreviewOnly = computed(() => {
@@ -1279,38 +1321,76 @@ const rxPharmacyRemarkText = computed(() => {
return v.pharmacy_remark || v.pharmacy_note || ''
})
const rxOutPelletText = computed(() => {
/** 笺面用药天数：与 consumer/prescription/order_list 一致 */
const rxSlipMedicationDaysText = computed(() => {
const v = savedPrescription.value as any
if (!v) return ''
const out = computeRxOutPellet(v)
return out ? `${out}克` : ''
if (!v) return '—'
const md = v.medication_days ?? v.usage_days
if (md != null && String(md).trim() !== '') return `${md} 天`
const dc = v.dose_count
if (dc != null && String(dc).trim() !== '' && Number(dc) > 0) return `${dc} 天`
return '—'
})
function computeRxOutPellet(v: any): string {
/** 主方出丸：用药疗程 medication_days → usage_days → dose_count；出丸 = 每袋用量×袋数×每天次数×服用天数 */
const slipPillGrams = computed(() => {
const d = savedPrescription.value as any
if (!d || (d.prescription_type || '浓缩水丸') !== '浓缩水丸') return null
const days = Number(d.medication_days ?? d.usage_days ?? d.dose_count)
const times = Number(d.times_per_day)
const doseG = Number(d.dosage_amount)
const bags = Number(d.dosage_bag_count) > 0 ? Number(d.dosage_bag_count) : 1
if (!Number.isFinite(days) || !Number.isFinite(times) || !Number.isFinite(doseG)) return null
if (days <= 0 || times <= 0 || doseG <= 0) return null
return days * times * doseG * bags
})
/** 辅方出丸：公式同主方，用 aux_usage 字段 */
const slipAuxPillGrams = computed(() => {
const d = savedPrescription.value as any
if (!d || (d.prescription_type || '浓缩水丸') !== '浓缩水丸') return null
if (!savedAuxHerbs.value.length) return null
const aux = normalizeAuxUsageForm(d.aux_usage, d.prescription_type || '浓缩水丸')
const days = Number(d.medication_days ?? aux.usage_days)
const times = Number(aux.times_per_day)
const doseG = Number(aux.dosage_amount)
const bags = Number(aux.dosage_bag_count) > 0 ? Number(aux.dosage_bag_count) : 1
if (!Number.isFinite(days) || !Number.isFinite(times) || !Number.isFinite(doseG)) return null
if (days <= 0 || times <= 0 || doseG <= 0) return null
return days * times * doseG * bags
})
/** 出丸：优先 slipPillGrams + slipAuxPillGrams，否则 out_pellet / 药材总量×剂数 */
const rxOutPelletGrams = computed(() => {
const main = slipPillGrams.value
const aux = slipAuxPillGrams.value
const mainNum = typeof main === 'number' && isFinite(main) && main > 0 ? main : 0
const auxNum = typeof aux === 'number' && isFinite(aux) && aux > 0 ? aux : 0
const sum = mainNum + auxNum
if (sum > 0) return formatRxNum(sum)
const v = savedPrescription.value as any
if (!v) return ''
if ((v.prescription_type || '浓缩水丸') === '浓缩水丸') {
const days = Number(v.usage_days ?? v.dose_count)
const times = Number(v.times_per_day)
const doseG = Number(v.dosage_amount)
const bags = Number(v.dosage_bag_count) > 0 ? Number(v.dosage_bag_count) : 1
if (
Number.isFinite(days) &&
Number.isFinite(times) &&
Number.isFinite(doseG) &&
days > 0 &&
times > 0 &&
doseG > 0
) {
return formatRxNum(days * times * doseG * bags)
}
}
const explicit = v.out_pellet || v.total_weight
if (explicit && Number(explicit) > 0) return formatRxNum(Number(explicit))
const list = savedSlipHerbsList.value
if (!list.length) return ''
const perDose = list.reduce((acc: number, h: any) => acc + (Number(h?.dosage) || 0), 0)
return formatRxNum(perDose * rxDoseCount.value)
}
})
const rxOutPelletText = computed(() => {
const out = rxOutPelletGrams.value
if (!out) return ''
const main = slipPillGrams.value
const aux = slipAuxPillGrams.value
if (
typeof main === 'number' && isFinite(main) && main > 0 &&
typeof aux === 'number' && isFinite(aux) && aux > 0
) {
return `${out}克（主方 ${formatRxNum(main)}克 + 辅方 ${formatRxNum(aux)}克）`
}
return `${out}克`
})
function formatRxNum(n: number): string {
if (!isFinite(n)) return '0'
@@ -1790,7 +1870,14 @@ const open = async (data: any, options?: { templateId?: number; stationName?: st
}
}
const openById = async (prescriptionId: number) => {
type OpenByIdOptions = {
/** 默认 internal；诊单列表查看传 user 展示处方联 */
slipType?: 'internal' | 'user'
/** 为 true 时不展示详细病历 A3 */
hideCaseRecord?: boolean
}
const openById = async (prescriptionId: number, options?: OpenByIdOptions) => {
// 防止重复打开
if (isOpening.value) {
console.warn('处方正在打开中，请勿重复点击')
@@ -1798,6 +1885,8 @@ const openById = async (prescriptionId: number) => {
}
isOpening.value = true
prescriptionTabType.value = options?.slipType ?? 'internal'
hideCaseRecordPreview.value = options?.hideCaseRecord ?? false
try {
const res = await prescriptionDetail({ id: prescriptionId })
@@ -1819,6 +1908,8 @@ const openById = async (prescriptionId: number) => {
const handleClose = () => {
visible.value = false
savedPrescription.value = null
prescriptionTabType.value = 'internal'
hideCaseRecordPreview.value = false
}
/**
@@ -2549,6 +2640,15 @@ defineExpose({
margin: -20px;
}
.rx-slip-tabs {
margin-bottom: 0;
z-index: 1;
position: relative;
background: #fff;
padding: 0 4px;
border-radius: 6px 6px 0 0;
}
.rx-toolbar {
display: flex;
align-items: center;
@@ -2813,6 +2913,23 @@ defineExpose({
min-height: 70px;
}
.rx-hospital-row {
display: flex;
flex-direction: column;
align-items: flex-start;
justify-content: flex-start;
gap: 2px;
padding: 10px 12px;
min-height: 52px;
text-align: left;
}
.rx-hospital-line {
font-size: 12px;
color: #374151;
line-height: 1.6;
}
.rx-bot-cell {
border-right: 1px solid #c8c8c8;
padding: 6px 10px;
admin/src/views/tcm/diagnosis/edit.vue
+30 -1
View File
@@ -272,6 +272,24 @@
</el-radio-group>
</el-form-item>
</el-col>
<el-col :span="12">
<el-form-item label="渠道来源" prop="create_source">
<el-select
v-model="formData.create_source"
placeholder="请选择渠道来源"
class="w-full"
:popper-options="{ strategy: 'fixed' }"
popper-class="high-z-index"
>
<el-option
v-for="item in createSourceOptions"
:key="item.value"
:label="item.label"
:value="item.value"
/>
</el-select>
</el-form-item>
</el-col>
</el-row>
<el-row :gutter="20">
<el-col :span="12">
@@ -855,9 +873,18 @@ const formData = ref({
remark: '',
current_medications: '',
status: 1,
create_source: 'admin',
external_userid: ''
})
/** 就诊卡创建来源（与 zyt_tcm_diagnosis.create_source 一致） */
const createSourceOptions = [
{ value: '', label: '未设置' },
{ value: 'admin', label: '后台建档' },
{ value: 'mnp', label: '小程序完整建档' },
{ value: 'mnp_daily', label: '小程序手机号快捷建档' }
]
// 保存原始完整数据
const originalPhone = ref('')
const originalIdCard = ref('')
@@ -1127,6 +1154,7 @@ async function loadDiagnosisDetailIntoForm(id: number): Promise<void> {
data.id_card = maskIdCard(data.id_card || '')
formData.value = data
formData.value.create_source = data.create_source ?? ''
const y = data.diabetes_discovery_year
formData.value.diabetes_discovery_year = y == null || y === '' ? '' : String(y)
}
@@ -1215,7 +1243,7 @@ const handleSubmit = async () => {
}
const handleViewCase = (row: any) => {
prescriptionRef.value?.openById(row.id)
prescriptionRef.value?.openById(row.id, { slipType: 'user', hideCaseRecord: true })
}
// 开方：传入当前诊单数据，包含详细病历（深拷贝避免响应式引用）
@@ -1288,6 +1316,7 @@ const handleClose = () => {
remark: '',
current_medications: '',
status: 1,
create_source: 'admin',
external_userid: ''
}
server/app/adminapi/logic/tcm/DiagnosisLogic.php
+4
View File
@@ -114,6 +114,10 @@ class DiagnosisLogic extends BaseLogic
}
}
if (empty($params['create_source'])) {
$params['create_source'] = 'admin';
}
$model = Diagnosis::create($params);
// 图片写入 doctor_note 表
server/app/adminapi/validate/tcm/DiagnosisValidate.php
+3 -1
View File
@@ -33,6 +33,7 @@ class DiagnosisValidate extends BaseValidate
'age' => 'require|number|between:0,150',
'diagnosis_type' => 'require',
'status' => 'in:0,1',
'create_source' => 'max:32',
'current_medications' => 'max:2000',
'tongue_images' => 'array',
'report_files' => 'array',
@@ -57,6 +58,7 @@ class DiagnosisValidate extends BaseValidate
'age.between' => '年龄范围0-150',
'diagnosis_type.require' => '请选择诊断类型',
'status.in' => '状态参数错误',
'create_source.max' => '渠道来源长度不能超过32个字符',
'current_medications.max' => '在用药物最多2000个字符',
'diabetes_discovery_year.max' => '发现糖尿病患病史最多50个字符',
'start_date.date' => '开始日期格式不正确',
@@ -76,7 +78,7 @@ class DiagnosisValidate extends BaseValidate
public function sceneEdit()
{
return $this->only(['id', 'patient_name', 'id_card', 'phone', 'gender', 'age', 'diagnosis_date', 'diagnosis_type', 'syndrome_type', 'marital_status', 'height', 'weight', 'region', 'systolic_pressure', 'diastolic_pressure', 'fasting_blood_sugar', 'diabetes_discovery_year', 'local_hospital_diagnosis', 'local_hospital_name', 'past_history', 'symptoms', 'tongue_coating', 'pulse', 'treatment_principle', 'prescription', 'doctor_advice', 'remark', 'current_medications', 'status']);
return $this->only(['id', 'patient_name', 'id_card', 'phone', 'gender', 'age', 'diagnosis_date', 'diagnosis_type', 'syndrome_type', 'marital_status', 'height', 'weight', 'region', 'systolic_pressure', 'diastolic_pressure', 'fasting_blood_sugar', 'diabetes_discovery_year', 'local_hospital_diagnosis', 'local_hospital_name', 'past_history', 'symptoms', 'tongue_coating', 'pulse', 'treatment_principle', 'prescription', 'doctor_advice', 'remark', 'current_medications', 'status', 'create_source']);
}
public function sceneId()
server/app/api/logic/tcm/DailyDietAiLogic.php
+194 -19
View File
@@ -31,20 +31,24 @@ class DailyDietAiLogic
return ['ok' => false, 'error' => '缺少就诊卡'];
}
$context = self::buildPatientContext($diagnosisId);
if (!$context['ok']) {
return ['ok' => false, 'error' => $context['error'] ?? '获取档案失败'];
}
$analysis = self::buildAnalysisPayload($context['data']);
$exercise = self::buildExercisePayload($context['data']);
$cacheKey = self::recommendCacheKey($diagnosisId);
if (!$refresh) {
$cached = Cache::get($cacheKey);
if (is_array($cached) && !empty($cached['breakfast'])) {
$cached['cached'] = true;
$cached['analysis'] = $analysis;
$cached['exercise'] = $exercise;
return ['ok' => true, 'data' => $cached];
}
}
$context = self::buildPatientContext($diagnosisId);
if (!$context['ok']) {
return ['ok' => false, 'error' => $context['error'] ?? '获取档案失败'];
}
$data = null;
if (AiChatService::isEnabled()) {
$raw = self::aiDailyRecommend($context['data'], $refresh);
@@ -61,6 +65,8 @@ class DailyDietAiLogic
$data['date'] = date('Y-m-d');
$data['cached'] = false;
Cache::set($cacheKey, $data, self::CACHE_TTL);
$data['analysis'] = $analysis;
$data['exercise'] = $exercise;
return ['ok' => true, 'data' => $data];
}
@@ -117,22 +123,29 @@ class DailyDietAiLogic
return;
}
$context = self::buildPatientContext($diagnosisId);
if (!$context['ok']) {
$emit('error', ['message' => $context['error'] ?? '获取档案失败']);
return;
}
$analysis = self::buildAnalysisPayload($context['data']);
$exercise = self::buildExercisePayload($context['data']);
// 先把「分析依据」「运动建议」推给前端，提升首屏感知
$emit('analysis', ['analysis' => $analysis]);
$emit('exercise', ['exercise' => $exercise]);
$cacheKey = self::recommendCacheKey($diagnosisId);
if (!$refresh) {
$cached = Cache::get($cacheKey);
if (is_array($cached) && !empty($cached['breakfast'])) {
$cached['cached'] = true;
$cached['analysis'] = $analysis;
$cached['exercise'] = $exercise;
$emit('done', $cached);
return;
}
}
$context = self::buildPatientContext($diagnosisId);
if (!$context['ok']) {
$emit('error', ['message' => $context['error'] ?? '获取档案失败']);
return;
}
$data = null;
$fullText = '';
@@ -168,6 +181,8 @@ class DailyDietAiLogic
$data['date'] = date('Y-m-d');
$data['cached'] = false;
Cache::set($cacheKey, $data, self::CACHE_TTL);
$data['analysis'] = $analysis;
$data['exercise'] = $exercise;
$emit('done', $data);
}
@@ -271,19 +286,26 @@ class DailyDietAiLogic
$row = $diagnosis->toArray();
$gender = (int) ($row['gender'] ?? 0);
$genderText = $gender === 1 ? '男' : ($gender === 0 ? '女' : '未知');
$age = (int) ($row['age'] ?? 0);
$since = strtotime('-7 days 00:00:00');
// 拉取近 30 天血糖（涵盖近 7 天），统一计算 7/30 天统计
$since30 = strtotime('-30 days 00:00:00');
$bloodList = BloodRecord::where('diagnosis_id', $diagnosisId)
->where('record_date', '>=', $since)
->where('record_date', '>=', $since30)
->where('delete_time', null)
->order('record_date', 'desc')
->limit(7)
->field('record_date,fasting_blood_sugar,postprandial_blood_sugar,other_blood_sugar')
->select()
->toArray();
$since7 = strtotime('-7 days 00:00:00');
$list7 = array_values(array_filter($bloodList, static function ($b) use ($since7) {
return (int) ($b['record_date'] ?? 0) >= $since7;
}));
// 近 7 天逐日明细（喂给 AI 的细节）
$bloodSummary = [];
foreach ($bloodList as $b) {
foreach (array_slice($list7, 0, 7) as $b) {
$date = !empty($b['record_date']) ? date('Y-m-d', (int) $b['record_date']) : '';
$parts = [];
if ($b['fasting_blood_sugar'] !== null && $b['fasting_blood_sugar'] !== '') {
@@ -300,18 +322,163 @@ class DailyDietAiLogic
}
}
$stats7 = self::aggregateBloodStats($list7, $age, '近7天');
$stats30 = self::aggregateBloodStats($bloodList, $age, '近30天');
return [
'ok' => true,
'data' => [
'patient_name' => (string) ($row['patient_name'] ?? ''),
'age' => (int) ($row['age'] ?? 0),
'age' => $age,
'gender_text' => $genderText,
'blood_recent' => $bloodSummary,
'stats_7d' => $stats7,
'stats_30d' => $stats30,
'today' => date('Y-m-d'),
],
];
}
/**
* 根据年龄返回血糖偏高阈值（与前端 getBloodSugarThresholds 保持一致）
*
* @return array{fasting:float,postprandial:float}|null
*/
private static function bloodThresholds(int $age): array
{
// 年龄未知时用通用糖尿病控制目标兜底，避免「无阈值=全部达标」
if ($age <= 0) {
return ['fasting' => 7.0, 'postprandial' => 10.0];
}
return $age < 50
? ['fasting' => 7.0, 'postprandial' => 9.0]
: ['fasting' => 8.0, 'postprandial' => 10.0];
}
/**
* 汇总一段时间内的血糖统计：有记录天数、偏高天数、达标率、均值
*
* @param array<int,array<string,mixed>> $rows
* @return array<string,mixed>
*/
private static function aggregateBloodStats(array $rows, int $age, string $label): array
{
$thresholds = self::bloodThresholds($age);
$byDate = [];
$fastingSum = 0.0;
$fastingCnt = 0;
$postSum = 0.0;
$postCnt = 0;
foreach ($rows as $b) {
$ts = (int) ($b['record_date'] ?? 0);
if ($ts <= 0) {
continue;
}
$date = date('Y-m-d', $ts);
$fasting = ($b['fasting_blood_sugar'] !== null && $b['fasting_blood_sugar'] !== '') ? (float) $b['fasting_blood_sugar'] : null;
$post = ($b['postprandial_blood_sugar'] !== null && $b['postprandial_blood_sugar'] !== '') ? (float) $b['postprandial_blood_sugar'] : null;
if ($fasting === null && $post === null) {
continue;
}
if (!isset($byDate[$date])) {
$byDate[$date] = ['high' => false];
}
if ($fasting !== null) {
$fastingSum += $fasting;
$fastingCnt++;
if ($thresholds && $fasting >= $thresholds['fasting']) {
$byDate[$date]['high'] = true;
}
}
if ($post !== null) {
$postSum += $post;
$postCnt++;
if ($thresholds && $post >= $thresholds['postprandial']) {
$byDate[$date]['high'] = true;
}
}
}
$recordDays = count($byDate);
$highDays = 0;
foreach ($byDate as $d) {
if ($d['high']) {
$highDays++;
}
}
$normalDays = max(0, $recordDays - $highDays);
$compliance = $recordDays > 0 ? (int) round($normalDays / $recordDays * 100) : 0;
return [
'label' => $label,
'record_days' => $recordDays,
'high_days' => $highDays,
'normal_days' => $normalDays,
'compliance' => $compliance,
'fasting_avg' => $fastingCnt > 0 ? round($fastingSum / $fastingCnt, 1) : null,
'postprandial_avg' => $postCnt > 0 ? round($postSum / $postCnt, 1) : null,
];
}
/**
* 把统计数据拼成喂给 AI 的一行人类可读文本
*
* @param array<string,mixed> $stats
*/
private static function statsToLine(array $stats): string
{
if (($stats['record_days'] ?? 0) <= 0) {
return $stats['label'] . '无血糖记录';
}
$segs = [
$stats['label'] . "有记录{$stats['record_days']}天",
"偏高{$stats['high_days']}天",
"达标率{$stats['compliance']}%",
];
if ($stats['fasting_avg'] !== null) {
$segs[] = "空腹均值{$stats['fasting_avg']}";
}
if ($stats['postprandial_avg'] !== null) {
$segs[] = "餐后均值{$stats['postprandial_avg']}";
}
return implode('，', $segs);
}
/**
* 给前端展示的「分析依据」结构（近7天 + 近30天）
*
* @param array<string,mixed> $context
* @return array<int,array<string,mixed>>
*/
private static function buildAnalysisPayload(array $context): array
{
$out = [];
foreach (['stats_7d', 'stats_30d'] as $key) {
$s = $context[$key] ?? null;
if (is_array($s)) {
$out[] = $s;
}
}
return $out;
}
/**
* 给前端展示的「运动降糖」建议（按血糖统计调整强度）
*
* @param array<string,mixed> $context
* @return array<string,mixed>
*/
private static function buildExercisePayload(array $context): array
{
return GiKnowledge::exercisePlan(
is_array($context['stats_7d'] ?? null) ? $context['stats_7d'] : [],
is_array($context['stats_30d'] ?? null) ? $context['stats_30d'] : []
);
}
/**
* @return array{0:string,1:string}
*/
@@ -320,6 +487,8 @@ class DailyDietAiLogic
$bloodLine = empty($context['blood_recent'])
? '近7日无血糖记录'
: implode('；', $context['blood_recent']);
$stat7Line = self::statsToLine($context['stats_7d'] ?? ['label' => '近7天', 'record_days' => 0]);
$stat30Line = self::statsToLine($context['stats_30d'] ?? ['label' => '近30天', 'record_days' => 0]);
$system = <<<SYS
你是村里懂糖尿病饮食的大夫助手，依据「霍大夫升糖指数（GI）」给农村老人推荐一日三餐。输出必须严格可执行。
@@ -335,12 +504,14 @@ class DailyDietAiLogic
SYS;
$user = sprintf(
"患者：%s，%s，%s岁。日期：%s。近7日血糖：%s。\n\nGI知识：\n%s\n\n农家饭参考：\n%s\n\n请输出严格符合硬性规则的三餐 JSON。",
"患者：%s，%s，%s岁。日期：%s。\n近7日逐日血糖：%s。\n血糖统计：%s；%s。\n（若近期偏高天数多或达标率低，请收紧主食与高GI食物，多安排蛋白与绿叶菜；若控制平稳可正常推荐。）\n\nGI知识：\n%s\n\n农家饭参考：\n%s\n\n请输出严格符合硬性规则的三餐 JSON。",
$context['patient_name'] ?: '大爷大妈',
$context['gender_text'] ?? '',
$context['age'] ?? 0,
$context['today'] ?? date('Y-m-d'),
$bloodLine,
$stat7Line,
$stat30Line,
GiKnowledge::summaryText(),
GiKnowledge::ruralMealHints()
);
@@ -362,6 +533,8 @@ SYS;
$bloodLine = empty($context['blood_recent'])
? '近7日无血糖记录'
: implode('；', $context['blood_recent']);
$stat7Line = self::statsToLine($context['stats_7d'] ?? ['label' => '近7天', 'record_days' => 0]);
$stat30Line = self::statsToLine($context['stats_30d'] ?? ['label' => '近30天', 'record_days' => 0]);
$system = <<<SYS
你是村里懂糖尿病饮食的大夫助手，依据「霍大夫升糖指数（GI）」给农村老人推荐一日三餐。
@@ -381,13 +554,15 @@ SYS;
SYS;
$user = sprintf(
"患者：%s，%s，%s岁。日期：%s。近7日血糖：%s。\n\nGI摘要：\n%s",
"患者：%s，%s，%s岁。日期：%s。\n近7日逐日血糖：%s。\n血糖统计：%s；%s。\n（偏高多或达标率低则收紧主食、多蛋白绿叶菜；平稳则正常推荐。）\n\nGI摘要：\n%s",
$context['patient_name'] ?: '大爷大妈',
$context['gender_text'] ?? '',
$context['age'] ?? 0,
$context['today'] ?? date('Y-m-d'),
$bloodLine,
mb_substr(GiKnowledge::summaryText(), 0, 380)
$stat7Line,
$stat30Line,
mb_substr(GiKnowledge::summaryText(), 0, 320)
);
if ($refresh) {
server/app/api/logic/tcm/GiKnowledge.php
+83
View File
@@ -192,6 +192,89 @@ class GiKnowledge
return $out;
}
/**
* 根据血糖统计给出「运动降糖」建议（规则化，按控制好坏调整强度）
*
* @param array<string,mixed> $stats7 近7天统计
* @param array<string,mixed> $stats30 近30天统计
* @return array{level:string,level_label:string,headline:string,items:list<string>,intensity:string,note:string}
*/
public static function exercisePlan(array $stats7 = [], array $stats30 = []): array
{
// 优先用记录更全的口径判断；都没记录则用近7天
$primary = ((int) ($stats30['record_days'] ?? 0) > 0) ? $stats30 : $stats7;
$recordDays = (int) ($primary['record_days'] ?? 0);
$compliance = (int) ($primary['compliance'] ?? 0);
$highDays = (int) ($primary['high_days'] ?? 0);
if ($recordDays <= 0) {
$level = 'unknown';
} elseif ($compliance < 50 || $highDays * 2 >= $recordDays) {
$level = 'high'; // 偏高多、达标率低 = 控制不佳
} elseif ($compliance < 80) {
$level = 'medium';
} else {
$level = 'good';
}
$note = '餐后 1 小时内开始动，别空腹剧烈运动；身上带几块糖，头晕、心慌、出虚汗就马上停下歇着。';
switch ($level) {
case 'high':
return [
'level' => 'high',
'level_label' => '血糖偏高 · 多动',
'headline' => '近期血糖偏高，三顿饭后都动一动，最能帮着把糖降下来。',
'items' => [
'早饭后快走 15 分钟，走到微微出汗',
'午饭后快走或原地踏步 20–30 分钟，降餐后血糖最管用',
'晚饭后慢走 30 分钟，吃完别马上坐下、躺下',
],
'intensity' => '中等强度 · 每天累计约 60 分钟',
'note' => $note,
];
case 'medium':
return [
'level' => 'medium',
'level_label' => '基本平稳 · 再稳稳',
'headline' => '血糖大体平稳，坚持餐后活动，把它稳住。',
'items' => [
'三餐后各散步 20 分钟，午饭后可以走快些',
'每天加一段八段锦或太极拳，10–15 分钟',
'能走楼梯少坐电梯，多干点家务、地里活',
],
'intensity' => '中低强度 · 每天累计 40–50 分钟',
'note' => $note,
];
case 'good':
return [
'level' => 'good',
'level_label' => '控制不错 · 保持',
'headline' => '血糖控制得不错，保持规律活动就行。',
'items' => [
'餐后散步 15–20 分钟，雷打不动',
'每天一段八段锦、太极或柔和拉伸',
'天好多到院里、地里走动，别久坐',
],
'intensity' => '中低强度 · 每天累计 30–40 分钟',
'note' => $note,
];
default:
return [
'level' => 'unknown',
'level_label' => '先记血糖 · 再调运动',
'headline' => '血糖记录还少，先按基础来：饭后多走动。',
'items' => [
'三餐后都散步 15–20 分钟',
'每天一段八段锦或太极拳',
'少久坐，坐 1 小时就起来活动几分钟',
],
'intensity' => '中低强度 · 每天累计约 30 分钟',
'note' => $note,
];
}
}
/**
* @return array{food:string,level:string,level_label:string,advice:string,source:string}
*/