66 lines
4.9 KiB
PHP
66 lines
4.9 KiB
PHP
<?php
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declare(strict_types=1);
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/** Synthetic engineering fixture. No real patient, record mutation or reference prescription. */
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final class CompleteTcmCase
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{
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public static function current(): array
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{
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return [
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'id' => 900000001, 'patient_id' => 0, 'patient_name' => '独立合成测试病例（非真实患者）',
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'gender' => 1, 'gender_text' => '男', 'age' => 54, 'diagnosis_date' => strtotime('2026-10-23'),
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'height' => 170, 'weight' => 65, 'bmi' => 22.5, 'systolic_pressure' => 124,
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'diastolic_pressure' => 76, 'heart_rate' => 78, 'temperature' => 36.5,
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'fasting_blood_sugar' => 7.2, 'postprandial_blood_sugar' => 9.0, 'hba1c' => 7.1,
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'chief_complaint' => '乏力、动则气短、自汗、口干3个月。',
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'present_illness' => '合成接诊记录：神疲乏力，轻微活动后气短，白天自汗、活动后加重，口干欲饮、少量频饮。'
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. '无恶寒发热，无高热烦渴、汗出淋漓或意识异常。无明显五心烦热、潮热盗汗，无畏寒肢冷。'
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. '食欲一般，大便稍干、每日1次，小便量较以往略多、夜尿1次。无咳嗽咯痰、胸痛心悸、浮肿或腹泻。'
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. '此次症状逐渐出现，无明显急性感染诱因；睡眠一般，未记录腰酸耳鸣或固定刺痛。',
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'tongue' => '本次面诊记录：舌质淡红，舌面少津，苔少；无黄腻苔、紫暗或瘀斑。',
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'pulse' => '本次医师切诊：脉细弱，按之无力；不浮、不滑、不紧。',
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'symptoms' => '望诊神疲、面色少华；闻诊语声低微，无喘促及异常气味。问诊及切诊见本次记录。',
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'local_hospital_diagnosis' => '2型糖尿病', 'diabetes_discovery_year' => 4,
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'past_history' => '合成病史：2型糖尿病4年；无已知冠心病、心衰或慢性肾病。',
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'current_medications' => '二甲双胍0.5g，每日2次，既有医嘱；未使用胰岛素或中药。',
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'allergy_history' => 0, 'allergy_history_text' => '本次询问无已知药物过敏史',
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'family_history' => 0, 'surgery_history' => 0, 'trauma_history' => 0,
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'clinical_diagnosis' => '已有西医诊断为2型糖尿病，本次中医证名未预填。',
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'remark' => '全部数据为独立构造的工程验收资料，不对应真实患者。无附件，不从图片或心率推断舌脉。',
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];
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}
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public static function rows(): array
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{
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$d = self::current();
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return [
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'diagnoses' => [$d],
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'doctor_notes' => [[
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'id' => 900000002, 'diagnosis_id' => $d['id'], 'note_date' => '2026-10-23',
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'content' => '独立合成检查资料：2026-10-20，ALT 22U/L、肌酐78μmol/L、eGFR 96mL/min/1.73m²、尿ACR 12mg/g。'
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. '本次BP124/76mmHg、HR78次/分。过敏询问见本次病历，所有新用药仍需医师复核。',
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]],
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'blood_records' => [
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['record_date' => '2026-10-21', 'fasting_blood_sugar' => 7.1, 'postprandial_blood_sugar' => 8.9,
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'systolic_pressure' => 122, 'diastolic_pressure' => 74, 'western_medicine' => '按既有二甲双胍医嘱服用', 'insulin' => '未使用'],
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['record_date' => '2026-10-22', 'fasting_blood_sugar' => 7.3, 'postprandial_blood_sugar' => 9.1,
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'systolic_pressure' => 124, 'diastolic_pressure' => 76, 'western_medicine' => '按既有二甲双胍医嘱服用', 'insulin' => '未使用'],
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],
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'diet_records' => [['record_date' => '2026-10-22', 'breakfast' => '燕麦、鸡蛋', 'lunch' => '米饭、蔬菜、鱼',
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'dinner' => '杂粮、蔬菜', 'note' => '合成记录：三餐规律，无节食。']],
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'exercise_records' => [['record_date' => '2026-10-22', 'exercise_type' => '步行', 'duration' => 20,
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'note' => '活动后乏力、汗出较明显，无胸痛或晕厥。']],
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'prescriptions' => [[
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'id' => 900000003, 'diagnosis_id' => $d['id'], 'prescription_date' => '2020-05-02',
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'prescription_name' => '藿香正气散（旧记录、早已停用）', 'clinical_diagnosis' => '当年短期胃肠不适，非本次接诊',
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'usage_instruction' => '历史事实，仅用于检查模型是否混淆时点；不代表本次适用。',
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]],
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'im_messages' => [['msg_time' => strtotime('2026-10-23 09:00:00'), 'msg_type' => 'text',
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'text' => '合成访谈：活动后出汗和气短明显，喝水每次不多，没有最近高热、恶寒、腹泻。']],
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'wechat_messages' => [], 'call_records' => [], 'transcript_segments' => [],
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'tracking_notes' => [], 'todos' => [], 'as_of' => strtotime('2026-10-23 12:00:00'),
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];
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}
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}
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