更新
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@@ -10,6 +10,7 @@ use app\common\logic\BaseLogic;
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use app\common\model\tcm\Diagnosis;
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use app\common\model\tcm\DiagnosisAiReport;
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use app\common\service\DifyChatService;
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use app\common\service\NihaixiaClinicalSkill;
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use think\facade\Db;
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use think\facade\Log;
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@@ -21,11 +22,11 @@ class DiagnosisAiLogic extends BaseLogic
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/** @var string Safe machine-readable code for the current assistant request. */
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private static $assistantErrorCode = 'AI_ASSISTANT_FAILED';
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private const PROMPT_VERSION = 'patient-context-case-explain-nihaixia-v3';
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private const PROMPT_VERSION = 'patient-context-case-explain-nihaixia-ancient-v4';
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private const ASSISTANT_PROMPT_VERSION = 'patient-context-assistant-nihaixia-v3';
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private const ASSISTANT_PROMPT_VERSION = 'patient-context-assistant-nihaixia-ancient-v4';
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private const ANALYSIS_PROMPT_VERSION = 'patient-context-analysis-nihaixia-v4';
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private const ANALYSIS_PROMPT_VERSION = 'patient-context-analysis-nihaixia-ancient-v5';
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private const MAX_ASSISTANT_PROMPT_LENGTH = 500;
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@@ -419,6 +420,7 @@ class DiagnosisAiLogic extends BaseLogic
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self::ASSISTANT_PROMPT_VERSION
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),
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'query' => self::buildAssistantPrompt($context, $task, $prompt),
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'knowledge_source' => NihaixiaClinicalSkill::knowledgeSource(),
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'user' => 'admin-diagnosis-assistant-' . $adminId,
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'admin_id' => $adminId,
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'files' => is_array($context['files'] ?? null) ? $context['files'] : [],
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@@ -559,6 +561,8 @@ class DiagnosisAiLogic extends BaseLogic
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$payload = [
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'diagnosis_id' => (int) ($prepared['diagnosis_id'] ?? 0),
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'answer' => $content,
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'knowledge_source' => NihaixiaClinicalSkill::knowledgeSource(),
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'ancient_book_sources' => is_array($result['ancient_book_sources'] ?? null) ? $result['ancient_book_sources'] : [],
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'model_key' => (string) ($prepared['profile'] ?? ''),
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'model_label' => (string) ($prepared['model_label'] ?? ''),
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'model_name' => (string) ($prepared['model_name'] ?? ''),
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@@ -830,6 +834,8 @@ class DiagnosisAiLogic extends BaseLogic
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}
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return array_merge($analysis, [
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'knowledge_source' => NihaixiaClinicalSkill::knowledgeSource(),
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'ancient_book_sources' => is_array($result['ancient_book_sources'] ?? null) ? $result['ancient_book_sources'] : [],
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'diagnosis_id' => $diagnosisId,
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'model_key' => $profile,
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'model_label' => $modelLabel,
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@@ -950,7 +956,8 @@ class DiagnosisAiLogic extends BaseLogic
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$modelLabel,
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$content,
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(string) ($result['message_id'] ?? ''),
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$adminId
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$adminId,
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is_array($result['ancient_book_sources'] ?? null) ? $result['ancient_book_sources'] : []
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);
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} catch (\Throwable $e) {
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Log::warning('diagnosis ai report persist failed', [
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@@ -1047,7 +1054,7 @@ class DiagnosisAiLogic extends BaseLogic
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$context = self::buildCaseContext($diagnosis, $adminId, $adminInfo);
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return [
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'diagnosis_id' => $id,
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'report' => self::formatReportRow($report->toArray(), $context['fingerprint']),
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'report' => self::formatReportRow($report->toArray(), $context['fingerprint'], $context),
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'can_edit' => self::hasPermission($adminId, $adminInfo, self::PERMISSION_EDIT),
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'can_refresh' => self::hasPermission($adminId, $adminInfo, self::PERMISSION_REFRESH),
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];
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@@ -1612,7 +1619,8 @@ PROMPT;
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string $modelLabel,
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string $content,
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string $messageId,
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int $adminId
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int $adminId,
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array $ancientBookSources = []
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): int {
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$now = time();
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$row = [
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@@ -1622,6 +1630,7 @@ PROMPT;
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'model_label' => self::cleanText($modelLabel, 50),
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'report_content' => $content,
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'message_id' => self::cleanText($messageId, 191),
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'ancient_book_sources_json' => json_encode($ancientBookSources, JSON_UNESCAPED_UNICODE | JSON_UNESCAPED_SLASHES) ?: '[]',
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'prompt_version' => self::PROMPT_VERSION,
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'case_fingerprint' => (string) $context['fingerprint'],
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'generated_by' => $adminId,
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@@ -1637,6 +1646,7 @@ PROMPT;
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'model_label',
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'report_content',
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'message_id',
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'ancient_book_sources_json',
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'prompt_version',
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'case_fingerprint',
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'generated_by',
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@@ -1677,7 +1687,8 @@ PROMPT;
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if (isset($rowsByModel[$modelKey])) {
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$reports[] = self::formatReportRow(
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$rowsByModel[$modelKey],
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(string) $context['fingerprint']
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(string) $context['fingerprint'],
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$context
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);
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}
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}
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@@ -1710,11 +1721,14 @@ PROMPT;
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* @param array<string,mixed> $row
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* @return array<string,mixed>
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*/
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private static function formatReportRow(array $row, string $currentFingerprint): array
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private static function formatReportRow(array $row, string $currentFingerprint, array $context = []): array
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{
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$content = (string) ($row['report_content'] ?? '');
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$generatedTime = (int) ($row['generated_time'] ?? 0);
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$editedTime = (int) ($row['edited_time'] ?? 0);
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// The fingerprint includes the source summary and diagnosis IDs. Reuse
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// current provenance only while it still matches the saved report.
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$sameSources = hash_equals($currentFingerprint, (string) ($row['case_fingerprint'] ?? ''));
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return [
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'id' => (int) ($row['id'] ?? 0),
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@@ -1725,13 +1739,16 @@ PROMPT;
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'content' => $content,
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'report' => self::parseReport($content),
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'message_id' => (string) ($row['message_id'] ?? ''),
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'knowledge_source' => NihaixiaClinicalSkill::knowledgeSourceForPromptVersion((string) ($row['prompt_version'] ?? '')),
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'ancient_book_sources' => self::decodeAncientBookSources($row['ancient_book_sources_json'] ?? ''),
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'prompt_version' => (string) ($row['prompt_version'] ?? ''),
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'case_fingerprint' => (string) ($row['case_fingerprint'] ?? ''),
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'prescription_fingerprint' => (string) ($row['case_fingerprint'] ?? ''),
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'is_stale' => !hash_equals(
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$currentFingerprint,
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(string) ($row['case_fingerprint'] ?? '')
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),
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'is_stale' => !$sameSources,
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'source_summary' => $sameSources && is_array($context['source_summary'] ?? null)
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? $context['source_summary'] : [],
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'source_diagnosis_ids' => $sameSources && is_array($context['source_diagnosis_ids'] ?? null)
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? array_values(array_map('intval', $context['source_diagnosis_ids'])) : [],
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'generated_by' => (int) ($row['generated_by'] ?? 0),
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'generated_time' => $generatedTime,
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'generated_at' => $generatedTime > 0 ? date('Y-m-d H:i:s', $generatedTime) : '',
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@@ -1742,6 +1759,13 @@ PROMPT;
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];
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}
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/** @return list<array<string,mixed>> */
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private static function decodeAncientBookSources(mixed $value): array
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{
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$decoded = is_string($value) ? json_decode($value, true) : null;
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return is_array($decoded) && array_is_list($decoded) ? array_values(array_filter($decoded, 'is_array')) : [];
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}
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/** @return array<string,array<string,mixed>> */
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private static function modelConfigs(): array
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{
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@@ -1779,8 +1803,24 @@ PROMPT;
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return null;
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}
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// Qwen occasionally drops letters from this key while keeping the other
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// two contract keys intact. Accept only the two observed spellings, and
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// never choose between conflicting diagnosis fields.
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if (!array_key_exists('diagnosis_advice', $decoded)) {
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$aliases = array_intersect(['diagnosis_adive', 'diagnosis_ad'], array_keys($decoded));
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if (count($aliases) !== 1) {
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return null;
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}
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$diagnosisField = $decoded[reset($aliases)];
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} else {
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if (array_key_exists('diagnosis_adive', $decoded) || array_key_exists('diagnosis_ad', $decoded)) {
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return null;
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}
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$diagnosisField = $decoded['diagnosis_advice'];
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}
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$diagnosisAdvice = self::validatedAnalysisText(
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$decoded['diagnosis_advice'] ?? null,
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$diagnosisField,
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self::MAX_ANALYSIS_ADVICE_LENGTH,
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true
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);
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@@ -11,6 +11,7 @@ use app\common\model\auth\AdminDept;
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use app\common\model\dept\Dept;
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use app\common\model\tcm\PatientAiReport;
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use app\common\service\DifyChatService;
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use app\common\service\NihaixiaClinicalSkill;
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use app\common\service\FileService;
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use think\facade\Db;
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use think\facade\Log;
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@@ -41,7 +42,7 @@ class PatientAiReportLogic extends BaseLogic
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private const PERMISSION_GENERATE = 'tcm.diagnosis/generatepatientaireport';
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private const PROMPT_VERSION = 'patient-longitudinal-report-nihaixia-v3';
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private const PROMPT_VERSION = 'patient-longitudinal-report-nihaixia-ancient-v4';
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/** @var array<int,string> */
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private const MODEL_KEYS = ['qwen', 'openai'];
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@@ -246,6 +247,8 @@ class PatientAiReportLogic extends BaseLogic
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'source_snapshot' => $sourceJson,
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'source_summary_json' => self::encodeJson($sourceSummary),
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'source_diagnosis_ids_json' => self::encodeJson($diagnosisIds),
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'ancient_book_sources_json' => self::encodeJson(is_array($upstream['ancient_book_sources'] ?? null)
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? $upstream['ancient_book_sources'] : []),
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'source_hash' => $sourceHash,
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'prompt_version' => self::PROMPT_VERSION,
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'message_id' => self::cleanText($upstream['message_id'] ?? '', 191),
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@@ -276,6 +279,8 @@ class PatientAiReportLogic extends BaseLogic
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'report' => $generatedReport,
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'disclaimer' => self::DISCLAIMER,
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'source_summary' => $generatedReport['source_summary'] ?? self::emptySourceSummary(),
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'source_diagnosis_ids' => $generatedReport['source_diagnosis_ids'] ?? [],
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'knowledge_source' => $generatedReport['knowledge_source'] ?? null,
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];
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}
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@@ -988,6 +993,7 @@ class PatientAiReportLogic extends BaseLogic
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$chunkCount = count($chunks);
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$inputs = self::sourceInputsForUpstream($snapshot['source_summary'] ?? []);
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$files = self::collectUpstreamFiles($snapshot);
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$ancientBookSources = [];
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if ($chunkCount === 1) {
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$result = DifyChatService::chat(
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@@ -1025,6 +1031,7 @@ class PatientAiReportLogic extends BaseLogic
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if (empty($part['ok']) || trim((string) ($part['content'] ?? '')) === '') {
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throw new \RuntimeException('Patient evidence chunk analysis failed');
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}
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$ancientBookSources = self::mergeAncientBookSources($ancientBookSources, $part);
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$summaries[] = [
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'part' => $index + 1,
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'total' => $chunkCount,
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@@ -1057,6 +1064,7 @@ class PatientAiReportLogic extends BaseLogic
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if (empty($part['ok']) || trim((string) ($part['content'] ?? '')) === '') {
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throw new \RuntimeException('Patient evidence reduction failed');
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}
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$ancientBookSources = self::mergeAncientBookSources($ancientBookSources, $part);
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$reduced[] = [
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'part' => $index + 1,
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'total' => count($summaryChunks),
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@@ -1084,11 +1092,39 @@ class PatientAiReportLogic extends BaseLogic
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'patient-longitudinal-report'
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);
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$result['analysis_chunk_count'] = $chunkCount;
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$result['ancient_book_sources'] = self::mergeAncientBookSources($ancientBookSources, $result);
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$result['analysis_reduction_rounds'] = $reductionRounds;
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$result['analyzed_source_bytes'] = strlen($sourceJson);
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return $result;
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}
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/** @param list<array<string,mixed>> $accumulated
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* @param array<string,mixed> $response
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* @return list<array<string,mixed>>
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*/
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private static function mergeAncientBookSources(array $accumulated, array $response): array
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{
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$sources = $response['ancient_book_sources'] ?? [];
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if (!is_array($sources)) {
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return $accumulated;
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}
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$seen = [];
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foreach ($accumulated as $source) {
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$seen[(string) ($source['url'] ?? '')] = true;
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}
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foreach ($sources as $source) {
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if (!is_array($source) || !is_string($source['url'] ?? null) || isset($seen[$source['url']])) {
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continue;
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}
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$seen[$source['url']] = true;
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$accumulated[] = $source;
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if (count($accumulated) >= 12) {
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break;
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}
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}
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return $accumulated;
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}
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/** @param array<string,mixed> $snapshot */
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private static function buildPrompt(array $snapshot): string
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{
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@@ -1427,6 +1463,8 @@ class PatientAiReportLogic extends BaseLogic
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'report' => $generatedReport,
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'disclaimer' => self::DISCLAIMER,
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'source_summary' => is_array($newest) ? ($newest['source_summary'] ?? self::emptySourceSummary()) : self::emptySourceSummary(),
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'source_diagnosis_ids' => is_array($newest) ? ($newest['source_diagnosis_ids'] ?? []) : [],
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'knowledge_source' => is_array($newest) ? ($newest['knowledge_source'] ?? null) : null,
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];
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}
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@@ -1465,6 +1503,9 @@ class PatientAiReportLogic extends BaseLogic
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'disclaimer' => self::DISCLAIMER,
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'source_hash' => (string) ($row['source_hash'] ?? ''),
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'source_summary' => $sourceSummary !== [] ? $sourceSummary : self::emptySourceSummary(),
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'source_diagnosis_ids' => self::decodeJsonArray($row['source_diagnosis_ids_json'] ?? ''),
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'knowledge_source' => NihaixiaClinicalSkill::knowledgeSourceForPromptVersion((string) ($row['prompt_version'] ?? '')),
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'ancient_book_sources' => self::decodeJsonArray($row['ancient_book_sources_json'] ?? ''),
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'prompt_version' => (string) ($row['prompt_version'] ?? ''),
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'version' => max((int) ($row['version'] ?? 1), 1),
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'generated_time' => $generatedTime,
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