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-- 诊单/患者资料 AI：持久化表 + 报告读取/助手/智能分析/刷新/编辑五个独立 API 权限。
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-- 五个 perms 必须与 DiagnosisController action 一一对应，否则
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-- AuthMiddleware 会把未注册 URI 当作无需鉴权的普通接口直接放行。
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CREATE TABLE IF NOT EXISTS `zyt_diagnosis_ai_report` (
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`id` bigint unsigned NOT NULL AUTO_INCREMENT COMMENT '报告ID',
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`diagnosis_id` int unsigned NOT NULL COMMENT '诊单ID',
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`model_key` varchar(32) NOT NULL COMMENT '服务端模型配置键：qwen/openai',
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`model_name` varchar(100) NOT NULL DEFAULT '' COMMENT '生成时实际模型名称',
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`model_label` varchar(50) NOT NULL DEFAULT '' COMMENT '模型展示名',
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`report_content` mediumtext NOT NULL COMMENT '报告原始内容',
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`message_id` varchar(191) NOT NULL DEFAULT '' COMMENT 'Dify message_id',
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`prompt_version` varchar(50) NOT NULL DEFAULT '' COMMENT '提示词版本',
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`case_fingerprint` char(64) NOT NULL DEFAULT '' COMMENT '生成时病例内容SHA-256',
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`generated_by` int unsigned NOT NULL DEFAULT 0 COMMENT '最近生成管理员ID',
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`generated_time` int unsigned NOT NULL DEFAULT 0 COMMENT '最近生成时间',
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`edited_by` int unsigned NOT NULL DEFAULT 0 COMMENT '最近人工编辑管理员ID',
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`edited_time` int unsigned NOT NULL DEFAULT 0 COMMENT '最近人工编辑时间',
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`create_time` int unsigned NOT NULL DEFAULT 0 COMMENT '创建时间',
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`update_time` int unsigned NOT NULL DEFAULT 0 COMMENT '更新时间',
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PRIMARY KEY (`id`),
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UNIQUE KEY `uk_diagnosis_model` (`diagnosis_id`, `model_key`),
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KEY `idx_generated_by_time` (`generated_by`, `generated_time`),
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KEY `idx_edited_by_time` (`edited_by`, `edited_time`)
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) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='诊单AI报告';
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START TRANSACTION;
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SET @reception_menu_id := (
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SELECT `id`
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FROM `zyt_system_menu`
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WHERE `type` = 'C'
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AND (
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`perms` = 'doctor.appointment/lists'
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OR `component` = 'patient/reception/index'
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OR `component` LIKE '%patient/reception/index%'
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)
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ORDER BY `id`
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LIMIT 1
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);
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SET @diagnosis_menu_id := (
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SELECT `id`
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FROM `zyt_system_menu`
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WHERE `type` = 'C'
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AND `perms` = 'tcm.diagnosis/lists'
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ORDER BY `id`
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LIMIT 1
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);
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SET @ai_menu_pid := COALESCE(NULLIF(@reception_menu_id, 0), @diagnosis_menu_id, 0);
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INSERT INTO `zyt_system_menu` (
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`pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
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`selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
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)
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SELECT
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@ai_menu_pid, 'A', '查看AI报告', '', 61,
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'tcm.diagnosis/aiReports', '', '',
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'', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
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FROM DUAL
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WHERE NOT EXISTS (
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SELECT 1 FROM `zyt_system_menu`
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WHERE `perms` = 'tcm.diagnosis/aiReports'
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);
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INSERT INTO `zyt_system_menu` (
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`pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
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`selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
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)
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SELECT
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@ai_menu_pid, 'A', '使用AI助手', '', 62,
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'tcm.diagnosis/aiAssistant', '', '',
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'', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
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FROM DUAL
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WHERE NOT EXISTS (
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SELECT 1 FROM `zyt_system_menu`
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WHERE `perms` = 'tcm.diagnosis/aiAssistant'
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);
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INSERT INTO `zyt_system_menu` (
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`pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
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`selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
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)
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SELECT
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@ai_menu_pid, 'A', 'AI智能分析', '', 65,
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'tcm.diagnosis/aiAnalysis', '', '',
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'', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
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FROM DUAL
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WHERE NOT EXISTS (
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SELECT 1 FROM `zyt_system_menu`
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WHERE `perms` = 'tcm.diagnosis/aiAnalysis'
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);
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INSERT INTO `zyt_system_menu` (
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`pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
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`selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
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)
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SELECT
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@ai_menu_pid, 'A', '生成AI报告', '', 63,
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'tcm.diagnosis/generateAiReports', '', '',
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'', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
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FROM DUAL
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WHERE NOT EXISTS (
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SELECT 1 FROM `zyt_system_menu`
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WHERE `perms` = 'tcm.diagnosis/generateAiReports'
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);
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INSERT INTO `zyt_system_menu` (
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`pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
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`selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
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)
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SELECT
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@ai_menu_pid, 'A', '编辑AI报告', '', 64,
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'tcm.diagnosis/editAiReport', '', '',
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'', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
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FROM DUAL
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WHERE NOT EXISTS (
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SELECT 1 FROM `zyt_system_menu`
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WHERE `perms` = 'tcm.diagnosis/editAiReport'
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);
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SET @diagnosis_ai_read_menu_id := (
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SELECT `id` FROM `zyt_system_menu`
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WHERE `perms` = 'tcm.diagnosis/aiReports'
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ORDER BY `id` LIMIT 1
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);
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SET @diagnosis_ai_refresh_menu_id := (
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SELECT `id` FROM `zyt_system_menu`
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WHERE `perms` = 'tcm.diagnosis/generateAiReports'
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ORDER BY `id` LIMIT 1
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);
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SET @diagnosis_ai_assistant_menu_id := (
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SELECT `id` FROM `zyt_system_menu`
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WHERE `perms` = 'tcm.diagnosis/aiAssistant'
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ORDER BY `id` LIMIT 1
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);
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SET @diagnosis_ai_analysis_menu_id := (
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SELECT `id` FROM `zyt_system_menu`
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WHERE `perms` = 'tcm.diagnosis/aiAnalysis'
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ORDER BY `id` LIMIT 1
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);
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SET @diagnosis_ai_edit_menu_id := (
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SELECT `id` FROM `zyt_system_menu`
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WHERE `perms` = 'tcm.diagnosis/editAiReport'
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ORDER BY `id` LIMIT 1
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);
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-- 能看接诊台/只读病例/诊单列表的角色继承读取已保存报告。
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INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
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SELECT DISTINCT `role_menu`.`role_id`, @diagnosis_ai_read_menu_id
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FROM `zyt_system_role_menu` AS `role_menu`
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INNER JOIN `zyt_system_menu` AS `menu` ON `menu`.`id` = `role_menu`.`menu_id`
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WHERE @diagnosis_ai_read_menu_id IS NOT NULL
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AND (
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`menu`.`perms` IN (
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'doctor.appointment/lists',
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'doctor.appointment/reception',
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'tcm.diagnosis/lists',
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'tcm.diagnosis/readonlyDetail',
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'tcm.diagnosis/detail'
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)
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OR `menu`.`id` IN (@reception_menu_id, @diagnosis_menu_id)
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);
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-- 已获准查看该诊单 AI 资料的角色可使用按病例范围受控的问诊助手。
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INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
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SELECT `role_id`, @diagnosis_ai_assistant_menu_id
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FROM `zyt_system_role_menu`
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WHERE @diagnosis_ai_read_menu_id IS NOT NULL
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AND @diagnosis_ai_assistant_menu_id IS NOT NULL
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AND `menu_id` = @diagnosis_ai_read_menu_id;
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-- 接诊台结构化分析使用独立权限，默认授予已能读取诊单 AI 资料的角色，之后可独立撤销。
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INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
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SELECT `role_id`, @diagnosis_ai_analysis_menu_id
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FROM `zyt_system_role_menu`
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WHERE @diagnosis_ai_read_menu_id IS NOT NULL
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AND @diagnosis_ai_analysis_menu_id IS NOT NULL
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AND `menu_id` = @diagnosis_ai_read_menu_id;
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-- 能读取报告的角色默认继承生成权限，之后可独立撤销。
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INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
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SELECT `role_id`, @diagnosis_ai_refresh_menu_id
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FROM `zyt_system_role_menu`
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WHERE @diagnosis_ai_read_menu_id IS NOT NULL
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AND @diagnosis_ai_refresh_menu_id IS NOT NULL
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AND `menu_id` = @diagnosis_ai_read_menu_id;
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-- 编辑仅继承给已有诊单编辑能力的角色。
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INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
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SELECT DISTINCT `role_menu`.`role_id`, @diagnosis_ai_edit_menu_id
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FROM `zyt_system_role_menu` AS `role_menu`
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INNER JOIN `zyt_system_menu` AS `menu` ON `menu`.`id` = `role_menu`.`menu_id`
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WHERE @diagnosis_ai_edit_menu_id IS NOT NULL
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AND `menu`.`perms` IN ('tcm.diagnosis/edit');
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COMMIT;
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