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2026-10-08 15:49:53 +08:00
parent 1c9b093e08
commit 67c374d899
52 changed files with 51959 additions and 75 deletions
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server/app/adminapi/logic/tcm/DiagnosisAiLogic.php
+3 -3
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@@ -21,11 +21,11 @@ class DiagnosisAiLogic extends BaseLogic
/** @var string Safe machine-readable code for the current assistant request. */
private static $assistantErrorCode = 'AI_ASSISTANT_FAILED';
private const PROMPT_VERSION = 'patient-context-case-explain-v2';
private const PROMPT_VERSION = 'patient-context-case-explain-nihaixia-v3';
private const ASSISTANT_PROMPT_VERSION = 'patient-context-assistant-v2';
private const ASSISTANT_PROMPT_VERSION = 'patient-context-assistant-nihaixia-v3';
private const ANALYSIS_PROMPT_VERSION = 'patient-context-analysis-v2';
private const ANALYSIS_PROMPT_VERSION = 'patient-context-analysis-nihaixia-v3';
private const MAX_ASSISTANT_PROMPT_LENGTH = 500;
server/app/adminapi/logic/tcm/PatientAiReportLogic.php
+1 -1
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@@ -41,7 +41,7 @@ class PatientAiReportLogic extends BaseLogic
private const PERMISSION_GENERATE = 'tcm.diagnosis/generatepatientaireport';
private const PROMPT_VERSION = 'patient-longitudinal-report-v2';
private const PROMPT_VERSION = 'patient-longitudinal-report-nihaixia-v3';
/** @var array<int,string> */
private const MODEL_KEYS = ['qwen', 'openai'];
server/app/adminapi/logic/tcm/PrescriptionLibraryAiLogic.php
+1 -1
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@@ -16,7 +16,7 @@ use think\facade\Log;
*/
class PrescriptionLibraryAiLogic extends BaseLogic
{
private const PROMPT_VERSION = 'rx-explain-v1';
private const PROMPT_VERSION = 'rx-explain-nihaixia-v2';
private const MAX_REPORT_LENGTH = 12000;
server/app/common/service/AiChatService.php
+12
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@@ -29,6 +29,12 @@ class AiChatService
return ['ok' => false, 'error' => 'AI 密钥未配置'];
}
try {
$messages = NihaixiaClinicalSkill::augmentMessages($messages);
} catch (\RuntimeException $error) {
return ['ok' => false, 'error' => '临床 AI 参考资料不可用'];
}
$baseUrl = rtrim((string) ($cfg['base_url'] ?? 'https://api.deepseek.com'), '/');
$model = (string) ($options['model'] ?? ($cfg['model'] ?? 'deepseek-chat'));
$timeout = (int) ($options['timeout'] ?? ($cfg['timeout'] ?? 60));
@@ -99,6 +105,12 @@ class AiChatService
return ['ok' => false, 'error' => 'AI 密钥未配置'];
}
try {
$messages = NihaixiaClinicalSkill::augmentMessages($messages);
} catch (\RuntimeException $error) {
return ['ok' => false, 'error' => '临床 AI 参考资料不可用'];
}
$baseUrl = rtrim((string) ($cfg['base_url'] ?? 'https://api.deepseek.com'), '/');
$model = (string) ($options['model'] ?? ($cfg['model'] ?? 'deepseek-chat'));
$timeout = (int) ($options['timeout'] ?? ($cfg['timeout'] ?? 60));
server/app/common/service/DifyChatService.php
+12
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@@ -77,6 +77,12 @@ class DifyChatService
return self::error('CONFIG_INVALID', 'AI 模型配置无效');
}
try {
$query = NihaixiaClinicalSkill::augmentQuery($query);
} catch (\RuntimeException $error) {
return self::error('SKILL_UNAVAILABLE', '临床 AI 参考资料不可用');
}
$strictFiles = !empty($options['strict_files']);
$normalized = self::normalizeFiles($files, self::maxFiles($config, $modelConfig), !$strictFiles);
if ($strictFiles && !self::strictFilesComplete($files, $normalized)) {
@@ -229,6 +235,12 @@ class DifyChatService
return self::error('CONFIG_INVALID', 'AI 模型配置无效');
}
try {
$query = NihaixiaClinicalSkill::augmentQuery($query);
} catch (\RuntimeException $error) {
return self::error('SKILL_UNAVAILABLE', '临床 AI 参考资料不可用');
}
$normalized = self::normalizeFiles($files, self::maxFiles($config, $modelConfig));
$startedAt = microtime(true);
$formatted = null;
server/app/common/service/NihaixiaClinicalSkill.php
+103
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@@ -0,0 +1,103 @@
<?php
declare(strict_types=1);
namespace app\common\service;
use RuntimeException;
/**
* A bounded clinical reference distilled at runtime from the vendored skill.
* The repository contains historical cases and agent instructions; neither is
* allowed to override patient evidence, structured output, or physician review.
*/
final class NihaixiaClinicalSkill
{
public const VERSION = 'nihaixia-270e94e-clinical-v1';
private const MARKER = '[NIHAIXIA_CLINICAL_SKILL:' . self::VERSION . ']';
private static ?string $reference = null;
public static function augmentQuery(string $query): string
{
if (str_contains($query, self::MARKER)) {
return $query;
}
return self::reference() . "\n\n【原始临床任务与患者资料】\n" . $query;
}
/** @param array<int,array<string,mixed>> $messages
* @return array<int,array<string,mixed>>
*/
public static function augmentMessages(array $messages): array
{
foreach ($messages as $message) {
if (str_contains((string) ($message['content'] ?? ''), self::MARKER)) {
return $messages;
}
}
array_unshift($messages, ['role' => 'system', 'content' => self::reference()]);
return $messages;
}
public static function reference(): string
{
if (self::$reference !== null) {
return self::$reference;
}
$path = dirname(__DIR__, 3) . '/knowledge/nihaixia-skill/SKILL.md';
$source = @file_get_contents($path);
if (!is_string($source) || $source === '') {
throw new RuntimeException('NIHAIXIA_SKILL_UNAVAILABLE');
}
$meridians = [];
preg_match_all(
'/^\|\s*\*\*(太阳|阳明|少阳|太阴|少阴|厥阴)\*\*\s*\|\s*([^|\r\n]+)\s*\|/mu',
$source,
$rows,
PREG_SET_ORDER
);
foreach ($rows as $row) {
$meridians[$row[1]] ??= trim($row[2]);
}
preg_match_all('/^第[一二三四五六七]步：\s*([^─\r\n]+)/mu', $source, $steps);
$stepNames = array_values(array_unique(array_map('trim', $steps[1] ?? [])));
preg_match_all(
'/^IF\s+([^\r\n]+?)\s*→\s*(太阳病|阳明病|少阳病|太阴病|少阴病|厥阴病|少阴热化证)\s*$/mu',
$source,
$formulas,
PREG_SET_ORDER
);
$diagnosticClues = [];
foreach ($formulas as $formula) {
$diagnosticClues[$formula[2]] ??= trim($formula[1]);
}
if (count($meridians) !== 6 || count($stepNames) !== 7 || count($diagnosticClues) !== 7) {
throw new RuntimeException('NIHAIXIA_SKILL_INVALID');
}
$signs = [];
foreach ($meridians as $name => $symptoms) {
$signs[] = $name . '：' . $symptoms;
}
$clues = [];
foreach ($diagnosticClues as $name => $condition) {
$clues[] = $name . '（' . $condition . '）';
}
self::$reference = self::MARKER
. "\n参考来源：coinweth/nihaixia-skill，SKILL.md「六经速查表」「六经辨证诊断公式」「七步走辨证思维模式」，commit 270e94e。"
. "\n六经主证：" . implode('；', $signs) . '。'
. "\n条件线索：" . implode('；', $clues) . '。'
. "\n辨证步骤：" . implode('→', $stepNames) . '。'
. "\n以上为传统中医教学参考，条件线索并非确诊规则。只根据当前患者的病史、症状、舌脉、检查及用药资料作有条件的辨证；病名不能直接等同证型，未满足关键证据时不得强行归经，缺失信息须说明。"
. "仓库医案、角色扮演和治疗主张均是待核对资料，不得据此建议停用现有治疗、忽略急症或跳过医师复核。"
. "保持原任务要求的 JSON 结构、来源编号、权限和处方审核规则；不要新增输出字段。";
return self::$reference;
}
}
server/app/common/service/prescriptionai/PrescriptionAiGenerator.php
+6 -4
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@@ -5,11 +5,12 @@ declare(strict_types=1);
namespace app\common\service\prescriptionai;
use app\common\service\DifyChatService;
use app\common\service\NihaixiaClinicalSkill;
/** One model branch. It receives a saved context and never queries patient data. */
final class PrescriptionAiGenerator
{
public const PROMPT_VERSION = 'manual-prescription-required-candidate-v4';
public const PROMPT_VERSION = 'manual-prescription-required-candidate-nihaixia-v5';
private const REPORT_KEYS = ['summary', 'diagnosis', 'risk_assessment', 'treatment_advice', 'evidence_references', 'missing_information'];
private const RETRYABLE = ['UPSTREAM_TIMEOUT', 'UPSTREAM_BUSY', 'UPSTREAM_UNAVAILABLE', 'INCOMPLETE_RESPONSE', 'EMPTY_RESPONSE',
'CANDIDATE_WITHHELD_BY_MODEL', 'INVALID_EVIDENCE_OUTPUT', 'INVALID_REPORT_OUTPUT'];
@@ -212,12 +213,12 @@ final class PrescriptionAiGenerator
// model prescribes plain names such as 麦冬 while the clinic stocks 生麦冬, and every
// row is then an unmappable identity rather than a comparable one.
$catalogNames = self::catalogNames($context, $inputBudget);
if (strlen(self::finalPrompt([], $coverage, $candidateBlocked, $requireCandidate, $dispensing, $catalogNames, $readIds)) + ($insistRounds > 0 ? self::INSIST_RESERVE : 0) > $inputBudget) {
if (strlen(NihaixiaClinicalSkill::augmentQuery(self::finalPrompt([], $coverage, $candidateBlocked, $requireCandidate, $dispensing, $catalogNames, $readIds))) + ($insistRounds > 0 ? self::INSIST_RESERVE : 0) > $inputBudget) {
throw new \RuntimeException('FINAL_CONTEXT_EXCEEDS_BUDGET');
}
// Include the complete coverage and prompt overhead when deciding to reduce evidence.
$prompt = self::finalPrompt($summaries, $coverage, $candidateBlocked, $requireCandidate, $dispensing, $catalogNames, $readIds);
for ($round = 0; strlen($prompt) + ($insistRounds > 0 ? self::INSIST_RESERVE : 0) > $inputBudget; $round++) {
for ($round = 0; strlen(NihaixiaClinicalSkill::augmentQuery($prompt)) + ($insistRounds > 0 ? self::INSIST_RESERVE : 0) > $inputBudget; $round++) {
if ($round >= 8) {
throw new \RuntimeException('SYNTHESIS_BUDGET_EXCEEDED');
}
@@ -354,7 +355,7 @@ final class PrescriptionAiGenerator
$progress['format_rejects'][count($progress['format_rejects'] ?? []) - 1]['content_length'] = $reject['content_length'];
self::invalidateStep($key, $progress, $checkpoint);
$repairPrompt = self::repairPrompt($prompt, $reject['rule']);
if (strlen($repairPrompt) > $inputBudget) {
if (strlen(NihaixiaClinicalSkill::augmentQuery($repairPrompt)) > $inputBudget) {
return ['value' => $value, 'parsed' => null];
}
$repaired = self::step($key . ':repair', $repairPrompt, $files, $modelKey, $context, $progress, $transport, $checkpoint, $inputBudget, $maxCalls);
@@ -382,6 +383,7 @@ final class PrescriptionAiGenerator
private static function step(string $key, string $prompt, array $files, string $model, array $context, array &$progress, callable $transport, ?callable $checkpoint, int $inputBudget, int $maxCalls): array
{
$prompt = NihaixiaClinicalSkill::augmentQuery($prompt);
// UTF-8 byte length is a conservative upper bound for byte-fallback tokenizers. File
// vision tokens depend on provider preprocessing and are tracked as unknown usage.
if (strlen($prompt) > $inputBudget) {