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<?php
declare(strict_types=1);
require dirname(__DIR__) . '/vendor/autoload.php';
use app\adminapi\logic\tcm\PatientAiReportLogic;
function patientSnapshotExpect(bool $condition, string $message): void
{
if (!$condition) {
fwrite(STDERR, "FAIL: {$message}\n");
exit(1);
}
}
$reflection = new ReflectionClass(PatientAiReportLogic::class);
$build = $reflection->getMethod('buildSourceSnapshotFromRows');
$canonicalJson = $reflection->getMethod('canonicalJson');
$sanitize = $reflection->getMethod('sanitizeSnapshotForUpstream');
$decodeAttachments = $reflection->getMethod('decodeAttachmentArray');
patientSnapshotExpect(
$decodeAttachments->invoke(null, 'https://legacy.test/only.pdf') === ['https://legacy.test/only.pdf'],
'legacy single-URL attachment is retained as one item'
);
patientSnapshotExpect(
$decodeAttachments->invoke(null, '/a.pdf, /b.jpg/c.png') === ['/a.pdf', '/b.jpg', '/c.png'],
'legacy ASCII and Chinese comma-delimited attachments are all retained'
);
patientSnapshotExpect(
$decodeAttachments->invoke(null, '"/quoted-single.pdf"') === ['/quoted-single.pdf'],
'legacy JSON string attachment is retained as one item'
);
$sources = [
'patient_id' => 88,
'diagnoses' => [[
'id' => 101,
'patient_id' => 88,
'patient_name' => '张某',
'gender' => 1,
'age' => 52,
'diagnosis_date' => 1722384000,
'symptoms' => '口渴、乏力',
'tongue_coating' => '舌红,苔薄黄',
'pulse' => '弦数',
'doctor_advice' => '复查空腹血糖',
'report_files' => '["https://private.test/report-a.pdf?token=secret"]',
]],
'doctor_notes' => [[
'id' => 1,
'diagnosis_id' => 101,
'doctor_id' => 7,
'note_date' => '2026-08-01',
'content' => '舌苔较前转薄,检验报告待复核',
'tongue_images' => '["/uploads/tongue.jpg"]',
'report_files' => '["/uploads/lab.pdf"]',
]],
'tracking_notes' => [[
'id' => 2,
'diagnosis_id' => 101,
'admin_id' => 8,
'note_date' => '2026-08-02',
'content' => '患者自述夜间口渴减轻',
]],
'blood_records' => [[
'id' => 3,
'diagnosis_id' => 101,
'patient_id' => 88,
'record_date' => 1785600000,
'fasting_blood_sugar' => '7.1',
'systolic_pressure' => 128,
'diastolic_pressure' => 82,
]],
'diet_records' => [[
'id' => 4,
'diagnosis_id' => 101,
'patient_id' => 88,
'record_date' => 1785600000,
'breakfast_foods' => '鸡蛋、燕麦',
]],
'exercise_records' => [[
'id' => 5,
'diagnosis_id' => 101,
'patient_id' => 88,
'record_date' => 1785600000,
'exercise_type' => '步行',
'duration' => 35,
'intensity' => 2,
]],
'im_messages' => [[
'id' => 6,
'diagnosis_id' => 101,
'patient_id' => 88,
'msg_time' => 1785600100,
'is_from_doctor' => 0,
'msg_type' => 'text',
'text' => '今天空腹血糖7.1',
'file_name' => 'patient-zhang-lab-result.pdf',
'from_staff_name' => '王医生',
]],
'wechat_messages' => [[
'id' => 7,
'diagnosis_id' => 101,
'patient_id' => 88,
'chat_time' => 1785600200,
'direction' => 0,
'msg_type' => 'text',
'content' => '请按时复诊',
]],
'call_records' => [[
'id' => 9,
'diagnosis_id' => 101,
'call_type' => 2,
'status' => 2,
'start_time' => 1785600300,
'duration' => 600,
'recording_urls' => '["https://private.test/playback.m3u8?sign=sensitive"]',
'recording_status' => 2,
]],
'transcript_segments' => [
[
'id' => 10,
'call_record_id' => 9,
'transcription_session_id' => 'session-secret',
'segment_id' => 'segment-1',
'speaker_role' => 'doctor',
'timestamp_ms' => 1000,
'text' => '最近口渴是否减轻?',
],
[
'id' => 11,
'call_record_id' => 9,
'transcription_session_id' => 'session-secret',
'segment_id' => 'segment-2',
'speaker_role' => 'patient',
'timestamp_ms' => 2000,
'text' => '减轻了,联系电话13812345678。',
],
],
];
$snapshot = $build->invoke(null, $sources);
patientSnapshotExpect(is_array($snapshot), 'snapshot is structured');
patientSnapshotExpect($snapshot['patient']['patient_id'] === 88, 'stable patient id is retained');
patientSnapshotExpect($snapshot['patient']['patient_name'] === '张某', 'server snapshot retains audited patient identity');
patientSnapshotExpect($snapshot['diagnoses'][0]['tongue_coating'] === '舌红,苔薄黄', 'tongue coating is aggregated');
patientSnapshotExpect($snapshot['diagnoses'][0]['pulse'] === '弦数', 'pulse is aggregated');
patientSnapshotExpect($snapshot['diagnoses'][0]['doctor_advice'] === '复查空腹血糖', 'diagnosis doctor advice is aggregated');
patientSnapshotExpect($snapshot['doctor_notes'][0]['content'] === '舌苔较前转薄,检验报告待复核', 'doctor notes are aggregated');
patientSnapshotExpect(count($snapshot['doctor_notes'][0]['report_files']) === 1, 'doctor report attachment records are aggregated');
patientSnapshotExpect(count($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($snapshot['chat_records']['tencent_im']) === 1, 'IM chat is aggregated');
patientSnapshotExpect(count($snapshot['chat_records']['wechat_work']) === 1, 'WeChat Work chat is aggregated');
patientSnapshotExpect(count($snapshot['video_calls'][0]['segments']) === 2, 'every call includes transcript segments');
patientSnapshotExpect(
str_contains($snapshot['video_calls'][0]['transcript_text'], '医生:最近口渴是否减轻?')
&& str_contains($snapshot['video_calls'][0]['transcript_text'], '患者:减轻了'),
'transcript_text is rebuilt from segments when live call columns are absent'
);
patientSnapshotExpect(count($snapshot['video_calls'][0]['recording_urls']) === 1, 'playback records remain in server snapshot');
$summary = $snapshot['source_summary'];
foreach ([
'diagnosis_count' => 1,
'doctor_note_count' => 1,
'tracking_note_count' => 1,
'blood_record_count' => 1,
'diet_record_count' => 1,
'exercise_record_count' => 1,
'im_message_count' => 1,
'wechat_message_count' => 1,
'call_record_count' => 1,
'transcript_segment_count' => 2,
'recording_asset_count' => 1,
] as $field => $count) {
patientSnapshotExpect($summary[$field] === $count, "summary {$field} is correct");
}
$canonicalOne = $canonicalJson->invoke(null, $snapshot);
$reordered = array_reverse($snapshot, true);
$canonicalTwo = $canonicalJson->invoke(null, $reordered);
patientSnapshotExpect(hash('sha256', $canonicalOne) === hash('sha256', $canonicalTwo), 'source hash is key-order stable');
$upstream = $sanitize->invoke(null, $snapshot);
$upstreamJson = json_encode($upstream, JSON_UNESCAPED_UNICODE | JSON_UNESCAPED_SLASHES) ?: '';
patientSnapshotExpect(!str_contains($upstreamJson, '张某'), 'patient name is removed upstream');
patientSnapshotExpect(!str_contains($upstreamJson, '13812345678'), 'phone embedded in transcript is redacted upstream');
patientSnapshotExpect(!str_contains($upstreamJson, 'private.test'), 'private attachment and playback URLs are removed upstream');
patientSnapshotExpect(!str_contains($upstreamJson, 'patient-zhang-lab-result.pdf'), 'attachment filename is removed upstream');
patientSnapshotExpect(!str_contains($upstreamJson, '王医生'), 'staff name is removed upstream');
patientSnapshotExpect($upstream['patient']['patient_id'] === '[已脱敏]', 'patient id is removed upstream');
patientSnapshotExpect(
$upstream['chat_records']['tencent_im'][0]['file_name'] === '[已脱敏]',
'filename-shaped fields are redacted upstream'
);
patientSnapshotExpect(str_contains($upstreamJson, 'attachment_count'), 'attachment presence remains available upstream');
$longText = str_repeat('超长病历段落甲乙丙。', 20000);
$manyNotes = [];
for ($index = 1; $index <= 240; $index++) {
$manyNotes[] = [
'id' => $index,
'diagnosis_id' => 501,
'content' => "随访记录-{$index}",
];
}
$completeSnapshot = $build->invoke(null, [
'patient_id' => 500,
'diagnoses' => [[
'id' => 501,
'patient_id' => 500,
'patient_name' => '完整性测试患者',
'symptoms' => $longText,
]],
'doctor_notes' => $manyNotes,
]);
patientSnapshotExpect(
$completeSnapshot['diagnoses'][0]['symptoms'] === $longText,
'long source text is not truncated in the persisted snapshot'
);
patientSnapshotExpect(
count($completeSnapshot['doctor_notes']) === 240
&& $completeSnapshot['doctor_notes'][0]['content'] === '随访记录-1'
&& $completeSnapshot['doctor_notes'][239]['content'] === '随访记录-240',
'large multi-record source sets retain every record in order'
);
patientSnapshotExpect(
$completeSnapshot['source_summary']['doctor_note_count'] === 240
&& $completeSnapshot['source_summary']['snapshot_complete'] === true
&& $completeSnapshot['source_summary']['may_be_truncated'] === false,
'source summary declares the complete untruncated multi-record snapshot'
);
echo "Patient AI report snapshot aggregation: OK\n";