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2026-08-14 14:37:30 +08:00
parent 21790e35f4
commit 18c15d1262
117 changed files with 28157 additions and 8080 deletions
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server/app/adminapi/controller/tcm/DiagnosisController.php
+203 -76
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@@ -17,8 +17,10 @@ namespace app\adminapi\controller\tcm;
use app\adminapi\controller\BaseAdminController;
use app\adminapi\lists\tcm\DiagnosisLists;
use app\adminapi\logic\order\OrderActionLogLogic;
use app\adminapi\logic\tcm\DiagnosisLogic;
use app\adminapi\logic\tcm\TrackingNoteLogic;
use app\adminapi\logic\tcm\DiagnosisAiLogic;
use app\adminapi\logic\tcm\DiagnosisLogic;
use app\adminapi\logic\tcm\PatientAiReportLogic;
use app\adminapi\logic\tcm\TrackingNoteLogic;
use app\adminapi\validate\tcm\DiagnosisValidate;
use app\common\model\Order;
use app\common\model\WechatChatRecord;
@@ -222,7 +224,7 @@ class DiagnosisController extends BaseAdminController
return $this->data(DiagnosisLogic::guahaoLogList((int) $params['id']));
}
/**
* @notes 诊单详情（患者端）
* @return \think\response\Json
@@ -230,22 +232,22 @@ class DiagnosisController extends BaseAdminController
public function diagnosisDetail()
{
$params = $this->request->get();
if (empty($params['id'])) {
return $this->fail('诊单ID不能为空');
}
if (empty($params['user_id'])) {
return $this->fail('用户ID不能为空');
}
$result = DiagnosisLogic::diagnosisDetail($params);
if ($result) {
return $this->data($result);
}
return $this->fail(DiagnosisLogic::getError());
}
/**
* @notes 检查手机号是否重复
* @return \think\response\Json
@@ -256,7 +258,7 @@ class DiagnosisController extends BaseAdminController
$result = DiagnosisLogic::checkPhone($params);
return $this->data($result);
}
/**
* @notes 检查身份证号是否重复
* @return \think\response\Json
@@ -281,7 +283,7 @@ class DiagnosisController extends BaseAdminController
}
return $this->fail(DiagnosisLogic::getError());
}
/**
* @notes 指派医助
* @return \think\response\Json
@@ -289,12 +291,12 @@ class DiagnosisController extends BaseAdminController
public function assign()
{
$params = $this->request->post();
// 验证参数
if (empty($params['id'])) {
return $this->fail('诊单ID不能为空');
}
if (!array_key_exists('assistant_id', $params)) {
return $this->fail('请选择医助或取消指派');
}
@@ -327,25 +329,25 @@ class DiagnosisController extends BaseAdminController
public function getCallSignature()
{
$params = $this->request->post();
if (empty($params['diagnosis_id'])) {
return $this->fail('诊单ID不能为空');
}
if (empty($params['patient_id'])) {
return $this->fail('患者ID不能为空');
}
// 传递当前管理员ID
$params['admin_id'] = $this->adminId;
$result = DiagnosisLogic::getCallSignature($params);
if ($result) {
return $this->data($result);
}
return $this->fail(DiagnosisLogic::getError());
}
/**
* @notes 发起通话
* @return \think\response\Json
@@ -353,57 +355,57 @@ class DiagnosisController extends BaseAdminController
public function startCall()
{
$params = $this->request->post();
if (empty($params['diagnosis_id'])) {
return $this->fail('诊单ID不能为空');
}
// 传递当前管理员ID
$params['admin_id'] = $this->adminId;
$result = DiagnosisLogic::startCall($params, $this->adminInfo);
if ($result !== false) {
return $this->data($result);
}
return $this->fail(DiagnosisLogic::getError());
}
/** @notes 为当前医生的指定通话记录启动实时录音转写 */
public function startCallTranscription()
{
$params = $this->request->post();
$params['admin_id'] = (int)$this->adminId;
$result = DiagnosisLogic::startCallTranscription($params);
if ($result === false) {
return $this->fail(DiagnosisLogic::getError());
}
return $this->data($result);
}
/** @notes 幂等写入当前通话的已完成转写分段 */
public function upsertCallTranscriptSegments()
{
$params = $this->request->post();
$params['admin_id'] = (int)$this->adminId;
$result = DiagnosisLogic::upsertCallTranscriptSegments($params);
if ($result === false) {
return $this->fail(DiagnosisLogic::getError());
}
return $this->data($result);
}
/** @notes 完成当前通话转写并固化对话文字 */
public function finishCallTranscription()
{
$params = $this->request->post();
$params['admin_id'] = (int)$this->adminId;
$result = DiagnosisLogic::finishCallTranscription($params);
if ($result === false) {
return $this->fail(DiagnosisLogic::getError());
}
return $this->data($result);
}
$result = DiagnosisLogic::startCall($params, $this->adminInfo);
if ($result !== false) {
return $this->data($result);
}
return $this->fail(DiagnosisLogic::getError());
}
/** @notes 为当前医生的指定通话记录启动实时录音转写 */
public function startCallTranscription()
{
$params = $this->request->post();
$params['admin_id'] = (int)$this->adminId;
$result = DiagnosisLogic::startCallTranscription($params);
if ($result === false) {
return $this->fail(DiagnosisLogic::getError());
}
return $this->data($result);
}
/** @notes 幂等写入当前通话的已完成转写分段 */
public function upsertCallTranscriptSegments()
{
$params = $this->request->post();
$params['admin_id'] = (int)$this->adminId;
$result = DiagnosisLogic::upsertCallTranscriptSegments($params);
if ($result === false) {
return $this->fail(DiagnosisLogic::getError());
}
return $this->data($result);
}
/** @notes 完成当前通话转写并固化对话文字 */
public function finishCallTranscription()
{
$params = $this->request->post();
$params['admin_id'] = (int)$this->adminId;
$result = DiagnosisLogic::finishCallTranscription($params);
if ($result === false) {
return $this->fail(DiagnosisLogic::getError());
}
return $this->data($result);
}
/**
* @notes 结束通话
* @return \think\response\Json
@@ -411,21 +413,21 @@ class DiagnosisController extends BaseAdminController
public function endCall()
{
$params = $this->request->post();
if (empty($params['diagnosis_id'])) {
return $this->fail('诊单ID不能为空');
}
// 传递当前管理员ID
$params['admin_id'] = $this->adminId;
$result = DiagnosisLogic::endCall($params);
if ($result) {
return $this->success('', [], 1, 1);
}
return $this->fail(DiagnosisLogic::getError());
}
/**
* @notes 获取通话记录
* @return \think\response\Json
@@ -433,11 +435,11 @@ class DiagnosisController extends BaseAdminController
public function getCallRecords()
{
$params = $this->request->get();
if (empty($params['diagnosis_id'])) {
return $this->fail('诊单ID不能为空');
}
$result = DiagnosisLogic::getCallRecords($params);
return $this->data($result);
}
@@ -603,11 +605,11 @@ class DiagnosisController extends BaseAdminController
public function getDoctorSignature()
{
$params = $this->request->get();
if (empty($params['patient_id'])) {
return $this->fail('医助理ID不能为空');
}
$result = DiagnosisLogic::getDoctorSignature((int)$params['patient_id']);
if ($result) {
return $this->data($result);
@@ -621,18 +623,18 @@ class DiagnosisController extends BaseAdminController
public function getPatientSignature()
{
$params = $this->request->get();
if (empty($params['patient_id'])) {
return $this->fail('患者ID不能为空');
}
$result = DiagnosisLogic::getPatientSignature((int)$params['patient_id']);
if ($result) {
return $this->data($result);
}
return $this->fail(DiagnosisLogic::getError());
}
/**
* @notes 获取医助列表
* @return \think\response\Json
@@ -642,7 +644,7 @@ class DiagnosisController extends BaseAdminController
$result = DiagnosisLogic::getAssistants((int) $this->adminId, $this->adminInfo);
return $this->data($result);
}
/**
* @notes 获取医生列表
* @return \think\response\Json
@@ -652,7 +654,7 @@ class DiagnosisController extends BaseAdminController
$result = DiagnosisLogic::getDoctors();
return $this->data($result);
}
/**
* @notes 生成小程序码
* @return \think\response\Json
@@ -824,7 +826,7 @@ class DiagnosisController extends BaseAdminController
}
$offset = ($page_no - 1) * $page_size;
$lists = \app\common\model\tcm\Diagnosis::where('patient_name|phone|id_card', 'like', '%' . $keyword . '%')
->field(['id', 'patient_name', 'phone', 'id_card', 'gender', 'age'])
->limit($offset, $page_size)
@@ -842,4 +844,129 @@ class DiagnosisController extends BaseAdminController
'page_size' => $page_size
]);
}
/**
* @notes 读取已保存的双模型诊单 AI 报告，不触发上游调用
*/
public function aiReports()
{
$params = (new DiagnosisValidate())->get()->goCheck('aiReports');
$reports = DiagnosisAiLogic::getSavedReports(
(int) $params['id'],
$this->adminId,
$this->adminInfo
);
if ($reports === null) {
return $this->fail(DiagnosisAiLogic::getError());
}
return $this->data($reports);
}
/**
* @notes 基于当前授权诊单向 AI 助手提问，不接收客户端上游配置
*/
public function aiAssistant()
{
$params = (new DiagnosisValidate())->post()->goCheck('aiAssistant');
$result = DiagnosisAiLogic::assistant(
(int) $params['id'],
(string) $params['task'],
(string) ($params['prompt'] ?? ''),
$this->adminId,
$this->adminInfo
);
if ($result === null) {
return $this->fail(DiagnosisAiLogic::getError());
}
return $this->data($result);
}
/**
* @notes 对当前授权诊单生成一次结构化 AI 智能分析，仅接受 qwen/openai 模型键
*/
public function aiAnalysis()
{
$params = (new DiagnosisValidate())->post()->goCheck('aiAnalysis');
$result = DiagnosisAiLogic::analysis(
(int) $params['id'],
$this->adminId,
$this->adminInfo,
(string) ($params['model'] ?? 'qwen')
);
if ($result === null) {
return $this->fail(DiagnosisAiLogic::getError());
}
return $this->data($result);
}
/**
* @notes 查询患者级 AI 诊断报告全部历史及各模型最新版本，不触发模型调用
*/
public function patientAiReports()
{
$params = (new DiagnosisValidate())->get()->goCheck('patientAiReports');
$result = PatientAiReportLogic::reports(
(int) $params['patient_id'],
$this->adminId,
$this->adminInfo
);
if ($result === null) {
return $this->fail(PatientAiReportLogic::getError());
}
return $this->data($result);
}
/**
* @notes 聚合当前数据域内患者纵向资料，调用指定固定模型并新增一份不可变报告快照
*/
public function generatePatientAiReport()
{
$params = (new DiagnosisValidate())->post()->goCheck('generatePatientAiReport');
$result = PatientAiReportLogic::generate(
(int) $params['patient_id'],
(string) $params['model'],
$this->adminId,
$this->adminInfo
);
if ($result === null) {
return $this->fail(PatientAiReportLogic::getError());
}
return $this->data($result);
}
/**
* @notes 整份重新生成两个固定模型的诊单 AI 报告并保存成功项
*/
public function generateAiReports()
{
$params = (new DiagnosisValidate())->post()->goCheck('generateAiReports');
$reports = DiagnosisAiLogic::generateAll(
(int) $params['id'],
$this->adminId,
$this->adminInfo
);
if ($reports === null) {
return $this->fail(DiagnosisAiLogic::getError());
}
return $this->data($reports);
}
/**
* @notes 编辑一份已保存的诊单 AI 报告
*/
public function editAiReport()
{
$params = (new DiagnosisValidate())->post()->goCheck('editAiReport');
$report = DiagnosisAiLogic::editReport(
(int) $params['id'],
(int) $params['report_id'],
$params['content'] ?? null,
$this->adminId,
$this->adminInfo
);
if ($report === null) {
return $this->fail(DiagnosisAiLogic::getError());
}
return $this->data($report);
}
}