更新

server/tests/PatientAiReportSnapshotTest.php

@@ -89,6 +89,19 @@ $sources = [
         'duration' => 35,
         'intensity' => 2,
     ]],
+    'prescriptions' => [[
+        'id' => 12,
+        'diagnosis_id' => 101,
+        'patient_id' => 88,
+        'prescription_name' => '益气养阴方',
+        'clinical_diagnosis' => '气阴两虚证',
+        'case_record' => '{"present_illness":"口渴乏力一月"}',
+        'herbs' => '[{"name":"黄芪","dosage":15,"formula_type":"主方"}]',
+        'dose_count' => 7,
+        'usage_days' => 7,
+        'times_per_day' => 2,
+        'audit_status' => 1,
+    ]],
     'im_messages' => [[
         'id' => 6,
         'diagnosis_id' => 101,
@@ -153,6 +166,12 @@ patientSnapshotExpect(count($snapshot['doctor_notes'][0]['report_files']) === 1,
 patientSnapshotExpect(count($snapshot['daily_records']['blood_glucose_pressure']) === 1, 'blood daily records are aggregated');
 patientSnapshotExpect(count($snapshot['daily_records']['diet']) === 1, 'diet daily records are aggregated');
 patientSnapshotExpect(count($snapshot['daily_records']['exercise']) === 1, 'exercise daily records are aggregated');
+patientSnapshotExpect(count($snapshot['prescriptions']) === 1, 'formal prescriptions are aggregated');
+patientSnapshotExpect($snapshot['prescriptions'][0]['herbs'][0]['name'] === '黄芪', 'prescription herbs are decoded');
+patientSnapshotExpect(
+    $snapshot['prescriptions'][0]['case_record']['present_illness'] === '口渴乏力一月',
+    'prescription case history snapshot is decoded'
+);
 patientSnapshotExpect(count($snapshot['chat_records']['tencent_im']) === 1, 'IM chat is aggregated');
 patientSnapshotExpect(count($snapshot['chat_records']['wechat_work']) === 1, 'WeChat Work chat is aggregated');
 patientSnapshotExpect(count($snapshot['video_calls'][0]['segments']) === 2, 'every call includes transcript segments');
@@ -171,6 +190,7 @@ foreach ([
     'blood_record_count' => 1,
     'diet_record_count' => 1,
     'exercise_record_count' => 1,
+    'prescription_count' => 1,
     'im_message_count' => 1,
     'wechat_message_count' => 1,
     'call_record_count' => 1,
@@ -198,6 +218,12 @@ patientSnapshotExpect(
     'filename-shaped fields are redacted upstream'
 );
 patientSnapshotExpect(str_contains($upstreamJson, 'attachment_count'), 'attachment presence remains available upstream');
+// 方名、外院机构名和药味名是临床内容，不是身份信息；把它们一并脱敏会让模型
+// 看不到既往用方，直接影响处方草稿与用药复核。
+patientSnapshotExpect(
+    str_contains($upstreamJson, '益气养阴方'),
+    'clinical prescription_name survives upstream sanitisation'
+);
 
 $longText = str_repeat('超长病历段落甲乙丙。', 20000);
 $manyNotes = [];