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@@ -21,7 +21,8 @@ use app\adminapi\logic\tcm\DiagnosisAiLogic;
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use app\adminapi\logic\tcm\DiagnosisLogic;
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use app\adminapi\logic\tcm\PatientAiReportLogic;
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use app\adminapi\logic\tcm\TrackingNoteLogic;
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use app\adminapi\validate\tcm\DiagnosisValidate;
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use app\adminapi\service\AssistantSseProtocol;
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use app\adminapi\validate\tcm\DiagnosisValidate;
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use app\common\model\Order;
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use app\common\model\WechatChatRecord;
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@@ -168,10 +169,13 @@ class DiagnosisController extends BaseAdminController
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*
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* @return \think\response\Json
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*/
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public function trackingWindow()
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{
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$params = (new DiagnosisValidate())->goCheck('trackingWindow');
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$result = DiagnosisLogic::fetchTrackingWindow(
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public function trackingWindow()
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{
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$params = (new DiagnosisValidate())->goCheck('trackingWindow');
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if (!DiagnosisLogic::canViewReadonlyDiagnosis((int) $params['id'], $this->adminId, $this->adminInfo)) {
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return $this->fail(DiagnosisLogic::getError() ?: '诊单不存在或无权访问');
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}
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$result = DiagnosisLogic::fetchTrackingWindow(
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(int) $params['id'],
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(string) ($params['start_date'] ?? ''),
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(string) ($params['end_date'] ?? '')
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@@ -865,9 +869,9 @@ class DiagnosisController extends BaseAdminController
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/**
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* @notes 基于当前授权诊单向 AI 助手提问，不接收客户端上游配置
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*/
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public function aiAssistant()
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{
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$params = (new DiagnosisValidate())->post()->goCheck('aiAssistant');
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public function aiAssistant()
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{
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$params = (new DiagnosisValidate())->post()->goCheck('aiAssistant');
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$result = DiagnosisAiLogic::assistant(
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(int) $params['id'],
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(string) $params['task'],
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@@ -877,11 +881,113 @@ class DiagnosisController extends BaseAdminController
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);
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if ($result === null) {
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return $this->fail(DiagnosisAiLogic::getError());
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}
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return $this->data($result);
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}
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/**
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}
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return $this->data($result);
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}
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/**
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* @notes 基于当前授权诊单向 AI 助手提问（SSE 真流式）
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*
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* 路由：POST tcm.diagnosis/aiAssistantStream body: id, task, prompt
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*/
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public function aiAssistantStream()
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{
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// 登录由全局中间件完成；请求校验、旧助手权限与 DataScope 必须全部
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// 在任何 SSE header / start 事件之前完成，失败时仍返回标准 JSON。
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$params = (new DiagnosisValidate())->post()->goCheck('aiAssistant');
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$prepared = DiagnosisAiLogic::prepareAssistant(
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(int) $params['id'],
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(string) $params['task'],
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(string) ($params['prompt'] ?? ''),
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$this->adminId,
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$this->adminInfo
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);
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if ($prepared === null) {
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return $this->fail(DiagnosisAiLogic::getError());
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}
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$this->runAssistantSse($prepared);
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}
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/** @param array<string,mixed> $prepared */
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private function runAssistantSse(array $prepared): void
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{
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while (ob_get_level() > 0) {
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ob_end_clean();
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}
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@ini_set('output_buffering', 'off');
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@ini_set('zlib.output_compression', '0');
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ignore_user_abort(true);
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if (function_exists('apache_setenv')) {
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@apache_setenv('no-gzip', '1');
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}
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header('Content-Type: text/event-stream; charset=utf-8');
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header('Cache-Control: no-cache, no-transform');
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header('Connection: keep-alive');
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header('X-Accel-Buffering: no');
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header('Content-Encoding: none');
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echo ':' . str_repeat(' ', 2048) . "\n\n";
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$this->flushSseOutput();
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$protocol = new AssistantSseProtocol();
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$emit = function (string $event, array $payload) use ($protocol): bool {
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if ($protocol->isTerminal() || connection_aborted()) {
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return false;
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}
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$encoded = $protocol->encode($event, $payload);
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if ($encoded === null) {
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return false;
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}
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echo $encoded;
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$this->flushSseOutput();
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return !connection_aborted();
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};
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$emit('start', [
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'task' => (string) ($prepared['task'] ?? ''),
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'model_key' => (string) ($prepared['profile'] ?? ''),
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'message' => '已连接，正在生成…',
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]);
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try {
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$result = DiagnosisAiLogic::streamPreparedAssistant(
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$prepared,
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static fn (string $delta): bool => $emit('delta', ['text' => $delta]),
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static fn (): bool => connection_aborted() === 1
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);
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if (connection_aborted()) {
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exit;
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}
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if ($result === null) {
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$emit('error', [
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'code' => 'AI_ASSISTANT_FAILED',
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'message' => 'AI 助手暂时不可用，请稍后重试',
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]);
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} else {
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$emit('done', $result);
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}
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} catch (\Throwable $e) {
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$emit('error', [
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'code' => 'AI_ASSISTANT_FAILED',
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'message' => 'AI 助手暂时不可用，请稍后重试',
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]);
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}
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exit;
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}
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private function flushSseOutput(): void
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{
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if (function_exists('ob_flush')) {
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@ob_flush();
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}
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flush();
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}
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/**
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* @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
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*/
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public function aiAnalysis()
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@@ -137,9 +137,12 @@ class PrescriptionController extends BaseAdminController
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$diagnosisId = (int)($this->request->get('diagnosis_id') ?? 0);
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if (!$diagnosisId) {
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return $this->fail('诊单ID不能为空');
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}
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$list = PrescriptionLogic::listByDiagnosis($diagnosisId);
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return $this->data($list);
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}
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$list = PrescriptionLogic::listByDiagnosis($diagnosisId, (int) $this->adminId, $this->adminInfo);
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if (PrescriptionLogic::getError() !== '') {
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return $this->fail(PrescriptionLogic::getError());
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}
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return $this->data($list);
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}
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/**
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