更新

app/src/doctor_workstation/ui/dialogs/ai_consult.py

@@ -54,6 +54,7 @@ from ..diagnosis_terms import (
     TermIndex,
     shared_terms,
 )
+from ..report_provenance import report_provenance_lines
 from ..theme import apply_reading_rhythm, mark_business_dialog
 from ..widgets import (
     display_text,
@@ -495,6 +496,22 @@ QDialog#AiConsultDialog QLabel#AiConsultClinicalDisclaimer {
     font-size: 13px;
     font-weight: 400;
 }
+QDialog#AiConsultDialog QFrame#AiConsultReportProvenance {
+    background-color: #F7F8FC;
+    border: 1px solid #E4E8F2;
+    border-radius: 9px;
+}
+QDialog#AiConsultDialog QLabel#AiConsultReportProvenanceTitle {
+    color: #27336B;
+    background-color: transparent;
+    font-size: 12px;
+    font-weight: 600;
+}
+QDialog#AiConsultDialog QLabel#AiConsultReportProvenanceLine {
+    color: #555B68;
+    background-color: transparent;
+    font-size: 12px;
+}
 QDialog#AiConsultDialog QFrame#AiConsultEventCard {
     background-color: #F7F7F7;
     border: 1px solid #EDEDEE;
@@ -2128,6 +2145,26 @@ def parse_structured_report(raw: Any) -> tuple[str, tuple[_ReportSection, ...],
     )
 
 
+def _report_provenance_widget(raw: Any, parent: QWidget) -> QFrame:
+    card = QFrame(parent)
+    card.setObjectName("AiConsultReportProvenance")
+    _style_surface(card)
+    layout = QVBoxLayout(card)
+    layout.setContentsMargins(12, 10, 12, 11)
+    layout.setSpacing(4)
+    title = QLabel("报告出处", card)
+    title.setObjectName("AiConsultReportProvenanceTitle")
+    layout.addWidget(title)
+    for line in report_provenance_lines(raw):
+        label = QLabel(line, card)
+        label.setObjectName("AiConsultReportProvenanceLine")
+        label.setWordWrap(True)
+        label.setTextFormat(Qt.TextFormat.PlainText)
+        label.setTextInteractionFlags(Qt.TextInteractionFlag.TextSelectableByMouse)
+        layout.addWidget(label)
+    return card
+
+
 _InsightItem = namedtuple("_InsightItem", "kind marker label text")
 
 _INSIGHT_LIST_RE = re.compile(r"^\s*(\d{1,2})\s*([\.、)）]\s*)")
@@ -2433,6 +2470,7 @@ class _StructuredReportPanel(QWidget):
         disclaimer: str,
         *,
         time_text: str = "",
+        provenance: Any = None,
         parent: QWidget | None = None,
     ) -> None:
         super().__init__(parent)
@@ -2479,6 +2517,7 @@ class _StructuredReportPanel(QWidget):
             note = _FittedText(_reading_html(disclaimer), parent=self)
             note.setObjectName("AiConsultReportDisclaimer")
             root.addWidget(note)
+        root.addWidget(_report_provenance_widget(provenance, self))
         # 富余高度归到底部，否则会被平摊进每张卡片，把报告拉得空空荡荡。
         root.addStretch(1)
 
@@ -2552,6 +2591,7 @@ class _ClinicalAnalysisPanel(QWidget):
         model: _ClinicalAnalysisModel,
         *,
         time_text: str = "",
+        provenance: Any = None,
         parent: QWidget | None = None,
     ) -> None:
         super().__init__(parent)
@@ -2645,6 +2685,7 @@ class _ClinicalAnalysisPanel(QWidget):
         disclaimer.setTextInteractionFlags(Qt.TextInteractionFlag.TextSelectableByMouse)
         _style_surface(disclaimer)
         root.addWidget(disclaimer)
+        root.addWidget(_report_provenance_widget(provenance, self))
         QTimer.singleShot(0, self._apply_responsive_layout)
 
     def set_time_text(self, time_text: str) -> None:
@@ -2868,6 +2909,7 @@ class _ChatBubble(QWidget):
         super().__init__(parent)
         self._role = role
         self._raw_payload = text
+        self._provenance: Mapping[str, Any] = {}
         self._clinical_panel: _ClinicalAnalysisPanel | None = None
         row = QHBoxLayout(self)
         row.setContentsMargins(12, 7, 12, 7)
@@ -2938,6 +2980,9 @@ class _ChatBubble(QWidget):
         if self.body is not None:
             self.body.set_payload(text)
 
+    def set_provenance(self, value: Any) -> None:
+        self._provenance = dict(value) if isinstance(value, Mapping) else {}
+
     def set_time_text(self, text: str) -> None:
         if not text:
             return
@@ -2958,6 +3003,7 @@ class _ChatBubble(QWidget):
             panel = _ClinicalAnalysisPanel(
                 model,
                 time_text=self.stamp.text(),
+                provenance=self._provenance,
                 parent=self._bubble_frame,
             )
         else:
@@ -2968,6 +3014,7 @@ class _ChatBubble(QWidget):
                 panel = _StructuredReportPanel(
                     *report,
                     time_text=self.stamp.text(),
+                    provenance=self._provenance,
                     parent=self._bubble_frame,
                 )
         if panel is None:
@@ -4643,6 +4690,7 @@ class AiConsultDialog(QDialog):
                     time_text=item.time_text,
                 )
                 if item.role == "ai":
+                    bubble.set_provenance(row)
                     bubble.finalize_clinical_analysis()
 
     def _render_analysis(self, analysis: Mapping[str, Any]) -> None:
@@ -4669,6 +4717,7 @@ class AiConsultDialog(QDialog):
         markdown = _analysis_markdown(payload)
         if markdown:
             bubble = self._append_bubble("ai", markdown)
+            bubble.set_provenance(payload)
             bubble.finalize_clinical_analysis()
         self._set_insights(
             [
@@ -6025,6 +6074,7 @@ class AiConsultDialog(QDialog):
             self._stream_bubble.set_time_text(
                 _join_meta(model, datetime.now().strftime("%H:%M"))
             )
+            self._stream_bubble.set_provenance(self._stream_meta)
             self._stream_bubble.finalize_clinical_analysis()
 
     def _flush_stream_chunks(self) -> None:

app/src/doctor_workstation/ui/dialogs/issued_prescription_ai.py

@@ -33,6 +33,7 @@ from PySide6.QtWidgets import (
 
 from ...core.errors import AuthenticationExpiredError
 from ..reception_style import body_family
+from ..report_provenance import report_provenance_lines
 from ..widgets import first_value, format_record_time, friendly_error, has_permission, run_async
 from .issued_prescription_ai_console import AgreementBar, StepRail, rail_qss
 from .issued_prescription_ai_glyphs import Glyph, LogoTile, glyph_icon
@@ -1414,7 +1415,14 @@ class IssuedPrescriptionAiDialog(QDialog):
             comparison_html += "<p class=sec>逐味贡献</p>" + _html(_comparison_rows(comparison.get("rows")) or "没有可展示的逐味对照。")
             comparison_html += _html({field: value for field, value in comparison.items() if field not in {"score", "herb_score", "rows"}})
             _set_html(views["comparison"], comparison_html)
-            _set_html(views["sources"], _html({"source_summary": batch.get("source_summary"), "missing": batch.get("missing"), "coverage": model.get("coverage"), "baseline_eligible": batch.get("baseline_eligible"), "baseline_exclusion_reasons": batch.get("baseline_exclusion_reasons"), "cutoff_at": format_record_time(batch.get("cutoff_at")), "generated_at": format_record_time(model.get("generated_at"))}))
+            source_html = _html({"source_summary": batch.get("source_summary"), "missing": batch.get("missing"), "coverage": model.get("coverage"), "baseline_eligible": batch.get("baseline_eligible"), "baseline_exclusion_reasons": batch.get("baseline_exclusion_reasons"), "cutoff_at": format_record_time(batch.get("cutoff_at")), "generated_at": format_record_time(model.get("generated_at"))})
+            reference_lines = [line for line in report_provenance_lines(model)
+                               if line.startswith(("知识参考：", "参考章节：", "原文：", "古籍参考："))]
+            if reference_lines:
+                source_html += '<p class="sec">文献出处</p>' + "".join(
+                    "<p>" + escape(line) + "</p>" for line in reference_lines
+                )
+            _set_html(views["sources"], source_html)
             if first_load and not self._pending_drafts:
                 review = mapping(model.get("review"))
                 views["comment"].setPlainText(str(review.get("comment") or ""))

app/src/doctor_workstation/ui/dialogs/prescription_ai.py

@@ -26,6 +26,7 @@ from PySide6.QtWidgets import (
     QWidget,
 )
 
+from ..report_provenance import report_provenance_lines
 from ..theme import apply_reading_rhythm
 from ..widgets import (
     EmptyState,
@@ -1413,8 +1414,22 @@ class PrescriptionAiReportDialog(QDialog):
                 or "仅供专业人员辅助审方，不替代辨证、诊断和处方审核。"
             )
             self._add_label(disclaimer, "PrescriptionAiMuted")
+            self._add_report_provenance(data)
             return
         self._section("报告正文", str(data.get("content") or "暂无报告正文"))
+        self._add_report_provenance(data)
+
+    def _add_report_provenance(self, data: dict[str, Any]) -> None:
+        if self.kind is not DIAGNOSIS_AI_KIND:
+            return
+        lines = [f"关联诊单：#{self._entity_id()}", *report_provenance_lines(data)]
+        label = QLabel("报告出处\n" + "\n".join(lines))
+        label.setObjectName("DiagnosisAiReportProvenance")
+        label.setTextFormat(Qt.TextFormat.PlainText)
+        label.setTextInteractionFlags(Qt.TextInteractionFlag.TextSelectableByMouse)
+        label.setWordWrap(True)
+        label.setStyleSheet("color: #555B68; font-size: 12px; padding: 10px 14px; background: #F7F8FC; border: 1px solid #E4E8F2; border-radius: 8px;")
+        self.host_layout.addWidget(label)
 
     def reject(self) -> None:
         self.dialog_generation += 1
@@ -1464,6 +1479,13 @@ class DiagnosisAiAssistantDialog(QDialog):
         self.answer_label = _AiAnswerBrowser()
         self.answer_scroll = self.answer_label
         root.addWidget(self.answer_scroll, 1)
+        self.source_label = QLabel("")
+        self.source_label.setObjectName("DiagnosisAiAssistantProvenance")
+        self.source_label.setTextFormat(Qt.TextFormat.PlainText)
+        self.source_label.setTextInteractionFlags(Qt.TextInteractionFlag.TextSelectableByMouse)
+        self.source_label.setWordWrap(True)
+        self.source_label.setVisible(False)
+        root.addWidget(self.source_label)
         actions = QHBoxLayout()
         actions.addStretch(1)
         self.retry_button = QPushButton("重试")
@@ -1481,6 +1503,8 @@ class DiagnosisAiAssistantDialog(QDialog):
         self.question_label.setText(f"问题：{self.prompt}")
         self.answer_label.clear()
         self.model_label.clear()
+        self.source_label.clear()
+        self.source_label.hide()
         self._ask()
 
     def _ask(self) -> None:
@@ -1519,6 +1543,8 @@ class DiagnosisAiAssistantDialog(QDialog):
         )
         self.model_label.setText(f"本次模型：{model}")
         self.answer_label.set_answer(answer)
+        self.source_label.setText("分析出处：" + "；".join(report_provenance_lines(payload)))
+        self.source_label.show()
         self.status_banner.show_message("分析完成", "success")
         self.loading = False
         self.retry_button.setEnabled(True)
@@ -1527,6 +1553,7 @@ class DiagnosisAiAssistantDialog(QDialog):
         if generation != self.request_generation:
             return
         self.status_banner.show_message(error_message(error), "danger")
+        self.source_label.hide()
         self.loading = False
         self.retry_button.setEnabled(True)
 

app/src/doctor_workstation/ui/pages/reception.py

@@ -89,6 +89,7 @@ from ..dialogs.prescription_ai import (
 )
 from ..filter_disclosure import FilterDisclosure
 from ..reception_style import body_family, heading_family, number_family
+from ..report_provenance import report_provenance_lines
 from ..theme import mark_business_dialog
 from ..widgets import (
     EmptyState,
@@ -3335,6 +3336,14 @@ class _ReceptionAiAnalysisDialog(QDialog):
             "",
             "ReceptionAiAnalysisDialogTreatmentText",
         )
+        source_label = QLabel("", body)
+        source_label.setObjectName("ReceptionAiAnalysisDialogSources")
+        source_label.setTextFormat(Qt.TextFormat.PlainText)
+        source_label.setTextInteractionFlags(Qt.TextInteractionFlag.TextSelectableByMouse)
+        source_label.setWordWrap(True)
+        source_label.setStyleSheet("color: #555B68; font-size: 12px; padding: 10px 14px; background: #F7F8FC; border: 1px solid #E4E8F2; border-radius: 8px;")
+        body_layout.addWidget(source_label)
+        self.source_label = source_label
         body_layout.addStretch(1)
         scroll.setWidget(body)
         surface_layout.addWidget(scroll, 1)
@@ -3525,6 +3534,7 @@ class _ReceptionAiAnalysisDialog(QDialog):
             " | ".join(part for part in (model, f"第 {version} 版", generated_at) if part)
         )
         self.meta_label.setVisible(bool(self.meta_label.text()))
+        self.source_label.setText("报告出处\n" + "\n".join(report_provenance_lines(payload)))
         self.scroll_area.verticalScrollBar().setValue(0)
 
 
@@ -5198,6 +5208,13 @@ class ReceptionPage(QWidget):
         state_layout.addStretch(1)
         self.ai_analysis_stack.addWidget(analysis_state)
         analysis_layout.addWidget(self.ai_analysis_stack)
+        self.ai_source_label = QLabel("", analysis_card)
+        self.ai_source_label.setObjectName("ReceptionAiSourceSummary")
+        self.ai_source_label.setTextFormat(Qt.TextFormat.PlainText)
+        self.ai_source_label.setTextInteractionFlags(Qt.TextInteractionFlag.TextSelectableByMouse)
+        self.ai_source_label.setWordWrap(True)
+        self.ai_source_label.setStyleSheet("color: #5B6474; font-size: 11px;")
+        analysis_layout.addWidget(self.ai_source_label)
 
         self.ai_detail_actions_host = QWidget(analysis_card)
         report_footer = QHBoxLayout(self.ai_detail_actions_host)
@@ -5432,6 +5449,7 @@ class ReceptionPage(QWidget):
         self.ai_analysis_stack.setCurrentWidget(
             self.ai_analysis_content_page if success else self.ai_analysis_state_page
         )
+        self.ai_source_label.setVisible(success)
         if success and payload is not None:
             if (
                 self._ai_analysis_rendered_model != model
@@ -5559,6 +5577,9 @@ class ReceptionPage(QWidget):
         )
         self.ai_analysis_snapshot_meta.setVisible(bool(meta_text))
         self.ai_analysis_card.setToolTip("")
+        source_lines = report_provenance_lines(payload)
+        self.ai_source_label.setText("报告出处：" + "；".join(source_lines[:2]))
+        self.ai_source_label.setToolTip("\n".join(source_lines))
 
     def _render_ai_risk_chips(self, risks: Sequence[Mapping[str, Any]]) -> None:
         _clear_ai_layout(self.ai_risk_chip_layout)

app/src/doctor_workstation/ui/report_provenance.py

@@ -0,0 +1,109 @@
+"""Human-readable, server-recorded source scope for clinical AI reports."""
+
+from __future__ import annotations
+
+import re
+from collections.abc import Mapping
+from typing import Any
+
+_REPORT_SOURCE_COUNTS = (
+    ("diagnosis_count", "诊单"),
+    ("doctor_note_count", "医生备注"),
+    ("tracking_note_count", "随访记录"),
+    ("blood_record_count", "血糖血压记录"),
+    ("diet_record_count", "饮食记录"),
+    ("exercise_record_count", "运动记录"),
+    ("prescription_count", "历史处方"),
+    ("im_message_count", "IM 消息"),
+    ("wechat_message_count", "企微消息"),
+    ("call_record_count", "视频问诊"),
+    ("transcript_segment_count", "视频转写片段"),
+)
+_NIHAIXIA_SOURCE_URL = "https://github.com/coinweth/nihaixia-skill"
+_NIHAIXIA_COMMIT = "270e94e637c4249dc411e54ac6715f21247de3cb"
+_ANCIENT_BOOKS_COMMIT = "db0155dc7c42b9c6b3736896661f317c7110038f"
+_ANCIENT_BOOKS_URL = "https://github.com/xiaopangxia/TCM-Ancient-Books"
+
+
+def report_provenance_lines(raw: Any) -> tuple[str, ...]:
+    """Describe recorded inputs; never turn model prose into a claimed citation."""
+    report = raw if isinstance(raw, Mapping) else {}
+    lines: list[str] = []
+    ids = report.get("source_diagnosis_ids")
+    diagnosis_ids = [
+        value for value in ids if type(value) is int and value > 0
+    ] if isinstance(ids, (list, tuple)) else []
+    if diagnosis_ids:
+        shown = "、".join(f"#{value}" for value in diagnosis_ids[:12])
+        lines.append("来源诊单：" + shown + (" 等" if len(diagnosis_ids) > 12 else ""))
+
+    summary = report.get("source_summary")
+    counts = []
+    if isinstance(summary, Mapping):
+        for key, label in _REPORT_SOURCE_COUNTS:
+            value = summary.get(key)
+            if type(value) is int and value > 0:
+                counts.append(f"{label} {value} 条")
+    if counts:
+        lines.append("患者资料范围：" + "、".join(counts))
+    elif isinstance(summary, Mapping) and type(summary.get("source_record_count")) is int and summary["source_record_count"] > 0:
+        lines.append(f"患者资料范围：记录 {summary['source_record_count']} 条，分类未记录")
+    elif not diagnosis_ids:
+        lines.append("患者资料范围：此报告未附可核查的来源清单")
+
+    knowledge = report.get("knowledge_source")
+    url = knowledge.get("url") if isinstance(knowledge, Mapping) else None
+    source_match = re.fullmatch(
+        re.escape(_NIHAIXIA_SOURCE_URL) + r"/blob/([0-9a-f]{40})/SKILL\.md",
+        url,
+    ) if isinstance(url, str) else None
+    if isinstance(knowledge, Mapping) and source_match is not None and source_match.group(1) == _NIHAIXIA_COMMIT:
+        commit = knowledge.get("commit")
+        commit_text = commit[:12] if isinstance(commit, str) and commit == _NIHAIXIA_COMMIT else ""
+        lines.append(
+            "知识参考：倪海厦 skill · SKILL.md"
+            + (f"（commit {commit_text}）" if commit_text else "")
+        )
+        sections = knowledge.get("sections")
+        allowed_sections = {"六经速查表", "六经辨证诊断公式", "七步走辨证思维模式"}
+        if isinstance(sections, (list, tuple)) and sections and all(
+            isinstance(item, str) and item in allowed_sections for item in sections
+        ):
+            lines.append("参考章节：" + "、".join(sections))
+        lines.append("原文：" + url)
+    else:
+        lines.append("知识参考：此报告未记录所用知识资料版本")
+
+    ancient_sources = report.get("ancient_book_sources")
+    shown_urls: set[str] = set()
+    if isinstance(ancient_sources, (list, tuple)):
+        for source in ancient_sources[:12]:
+            if not isinstance(source, Mapping):
+                continue
+            ancient_url = source.get("url")
+            if not isinstance(ancient_url, str) or ancient_url in shown_urls:
+                continue
+            if re.fullmatch(
+                re.escape(_ANCIENT_BOOKS_URL)
+                + r"/blob/"
+                + _ANCIENT_BOOKS_COMMIT
+                + r"/[^/#?]+\.txt#L[1-9]\d*",
+                ancient_url,
+            ) is None or source.get("commit") != _ANCIENT_BOOKS_COMMIT:
+                continue
+            shown_urls.add(ancient_url)
+            title = str(source.get("title") or "古籍原文")[:60]
+            chapter = str(source.get("chapter") or "")[:60]
+            lines.append(
+                "古籍参考：《" + title + "》"
+                + ("「" + chapter + "」" if chapter else "")
+                + "；原文：" + ancient_url
+            )
+    if not shown_urls and "-ancient-" in str(
+        report.get("prompt_version") or report.get("context_version") or ""
+    ):
+        lines.append("古籍参考：本次未记录可核查的古籍片段")
+    if report.get("is_edited") is True:
+        lines.append("人工编辑：报告生成后已修改，来源范围仅对应原始生成版本。")
+    lines.append("以上列出本次输入范围与知识参考，不代表每条结论均有逐项引用。")
+    return tuple(lines)