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wnaguha
2025-03-17 10:56:09 +08:00
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digital_doctor/application/api/controller/Reporth5.php Normal file
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<?php
/*
* description：
* author：wh
* email：
* createTime：{2024/7/12} {11:29}
*/
namespace app\api\controller;
use app\common\model\TabConf;
use think\Db;
use wanghua\general_utility_tools_php\gpt\chat\ChatGPT;
use wanghua\general_utility_tools_php\Mmodel;
use wanghua\general_utility_tools_php\tool\Tools;
/**
* h5-数字人-报告
* Class Reporth5
* @package app\api\controller
*/
class Reporth5 extends BaseHttpApi
{
public function __construct()
{
//if(!Usersh5::checkLogin()){
// echo json_encode(['code'=>591,'msg'=>'未登录']);exit;
//}
}
/**
* desc：h5-数字人-生成听诊报告（同时提交固定问答聊天记录）
*
* api/Reporth5/createReport
*
* name 病人姓名
gender 病人性别
age 病人年龄
edu 教育程度
career_year 职业及年限
power 体力要求
satisfaction 经济满意度
old_career_year 过往职业及年限
support 社会支持度
marriage 婚姻状况
live 居住情况
home 家庭关系
address 地址
phone 联系方式
wechat_no 微信号
ticket 登录票据
hdrdepartment_id 科室
* from 来源:num_per=数智人,ty=听译助手,h5=h5网页问诊
*
* content 对话内容；格式：
* $content = [
["role" => "user", "content" => '医生说：xxxxx'],
["role" => "user", "content" => '患者说：xxxxx'],
];
* author：wh
*/
function createReport(){
//header('Content-Type: text/event-stream');
//header('Cache-Control: no-cache');
//header('Connection: keep-alive');
//header('X-Accel-Buffering: no');
$uniqueid = input('uniqueid');
if(empty($uniqueid)){
return json(Tools::set_fail('uniqueid必须'));
}
Tools::log_to_write_txt(['input'=>input()]);
$config = config('ai_num_report_config');
$question = '';//input('question','');
$chatobj = new ChatGPT();
$chatobj->url = $config['base_url'];
$chatobj->model = '';
$chatobj->apiKey = $config['APIKey'];
$answer_json_arr = [];
$ticket = input('ticket');
if(empty($ticket)){
return json(Tools::set_fail('对话票据ticket必须(用于隔离用户聊天历史记录)，登陆时返回票据，每次诊断结束重新生成票据！'));
}
if(empty(input('from'))){
return json(Tools::set_fail('from必须'));
}
$from = 'h5';
$qa_type = 'fix';
if(empty($qa_type)){
return json(Tools::set_fail('qa_type问答模式必须，可选项：问答模式:free=自由问答,fix=固定问答'));
}
//用户
$user = Db::table(TabConf::$fa_hdrusersh5)->where('ticket',$ticket)->find();
if(empty($user)){
return json(Tools::set_res(531,'用户不存在'));
}
//查询医生所属部门
$hdrdoctorusers = Db::table(TabConf::$fa_hdrdoctorusers)
->where('username',$user['doctor'])
->find();
if(empty($hdrdoctorusers)){
return json(Tools::set_fail('医生不存在'));
}
//部门id
$hdrdepartment_id = $hdrdoctorusers['hdrdepartment_id'];
$config = [
'stream'=>false,
'chatId'=>Tools::getMillisecond(),
];
//验证参数
if(empty(input('name'))){
return json(Tools::set_fail('name必须'));
}
if(empty(input('gender'))){
return json(Tools::set_fail('gender必须'));
}
if(empty(input('age'))){
return json(Tools::set_fail('age必须'));
}
if(empty(input('phone'))){
return json(Tools::set_fail('phone必须'));
}
if(empty(input('hdrdepartment_id'))){
return json(Tools::set_fail('hdrdepartment_id必须'));
}
$basedata = [
'name'=>input('name',''),//病人姓名
'gender'=>input('gender',''),//病人性别
'age'=>input('age',''),//病人年龄
'edu'=>input('edu',''),//教育程度
'career_year'=>input('career_year',''),//职业及年限
'power'=>input('power',''),//体力要求
'satisfaction'=>input('satisfaction',''),//经济满意度
'old_career_year'=>input('old_career_year',''),//过往职业及年限
'old_career_power'=>input('old_career_power',''),//过往体力要求
'support'=>input('support',''),//社会支持度
'marriage'=>input('marriage',''),//婚姻状况
'live'=>input('live',''),//居住情况
'home'=>input('home',''),//家庭关系
'address'=>input('address',''),//地址
'phone'=>input('phone',''),//联系方式
'wechat_no'=>input('wechat_no',''),//微信号
'from'=>$from,//来源
'ticket'=>$ticket,//登录票据'
'date'=>date('Y-m-d'),
'hdrdepartment_id'=>$hdrdepartment_id,//科室
];
//$uniqueid = md5(json_encode($basedata));
//查询报告
$report = Db::table('fa_tt_medical_report')
->where('uniqueid',$uniqueid)
->find();
if($report){
return json(Tools::set_fail('报告重复'));
}
$contentstr = input('content');
if(empty($contentstr)){
return json(Tools::set_fail('content必须'));
}
$content['name'] = '【姓名】：'.$basedata['name'];
$content['gender'] = '【性别】：'.$basedata['gender'];
$content['age'] = '【年龄】：'.$basedata['age'];
$content['edu'] = '【教育程度】：'.$basedata['edu'];
$content['career_year'] = '【职业及年限】：'.$basedata['career_year'];
$content['power'] = '【体力要求】：'.$basedata['power'];
$content['satisfaction'] = '【经济满意度】：'.$basedata['satisfaction'];
$content['old_career_year'] = '【过往职业及年限】：'.$basedata['old_career_year'];
$content['old_career_power'] = '【过往体力要求】：'.$basedata['old_career_power'];
$content['support'] = '【社会支持度】：'.$basedata['support'];
$content['marriage'] = '【婚姻状况】：'.$basedata['marriage'];
$content['live'] = '【居住情况】：'.$basedata['live'];
$content['home'] = '【家庭关系】：'.$basedata['home'];
$content['address'] = '【地址】：'.$basedata['address'];
$content['phone'] = '【联系方式】：'.$basedata['phone'];
$content['wechat_no'] = '【微信号】：'.$basedata['wechat_no'];
//
////设置基本信息
//$chatobj->setBefore($content);
$sub_content = json_decode($contentstr,true);
if(empty($sub_content)){
return json(Tools::set_fail('没有对话诊断信息'));
}
Tools::log_to_write_txt(['聊天记录content：'=>$sub_content]);
//$content = [
// //["role" => "user", "content" => '']
//];
//$sub_content = array_merge($content,$sub_content);
$ctn_msg_str = implode('',array_column($sub_content,'content'));
foreach ($content as $val){
$ctn_msg_str .= ','.$val;
}
$sub_content_msg = [
["role" => "user", "content" => $ctn_msg_str]
];
//chatGpt设置前置聊天上下文
$chatobj->setBefore($sub_content_msg);
//回答
$chatobj->returnAnswer($question,$config,$answer_json_arr);
//dump($answer_json_arr);die;
$res_content = [];
$data = [];
Tools::log_to_write_txt(['gpt回复'=>$answer_json_arr]);
//把返回的报告保存起来
foreach ($answer_json_arr as $josn){
$item = json_decode($josn,true);
if(empty($item['choices'])){
return json(Tools::set_fail('choices is empty',$answer_json_arr));
}
$choices = $item['choices'];
foreach ($choices as $choice){
$data[] = [
'username'=>$hdrdoctorusers['username'],//登录的医生
'report_content'=>$choice['message']['content'],
'name'=>$basedata['name'],
'phone'=>$basedata['phone'],
];
$res_content[] = $choice['message']['content'];
}
}
if(empty($data)){
return json(Tools::set_fail('没有获取到报告'));
}
Db::startTrans();
try {
foreach ($data as $item){
//新增统一基本信息
$hdruserbaseinfo_id = Db::table('fa_tt_userbaseinfo')->insertGetId($basedata);
//只新增不修改
$userbaseinfo_id = Db::table('fa_tt_userbaseinfo')->insert($basedata);
//保存疼痛科聊天记录
$this->setTtChatHistory($sub_content,$hdrdoctorusers['username'],$hdruserbaseinfo_id,$userbaseinfo_id,$ticket);
$item['userbaseid'] = $userbaseinfo_id;
$item['hdruserbaseinfo_id'] = $hdruserbaseinfo_id;//统一病历基本信息ID
$item['hdrdepartment_id'] = $hdrdepartment_id;
$item['from'] = $from;//来源:num_per=数智人,ty=听译助手,h5=h5网页问诊
$item['doctor'] = $hdrdoctorusers['name'];
$item['qa_type'] = $qa_type;
$item['uniqueid'] = $uniqueid;
//保存报告
Db::table('fa_tt_medical_report')->insert($item);
//日期
//$item['date'] = date('Y-m-d');
////统一存档(暂时不用)
//Db::table(TabConf::$fa_hdrmedical_report)->insert($item);
}
Db::commit();
return json(Tools::set_ok(['base_data'=>$content,'res_content'=>$res_content]));
}catch (\Exception $e){
Db::rollback();
Tools::error_txt_log($e);
return json(Tools::set_fail('新增报告失败.'.$e->getMessage()));
}
}
/**
* desc：保存疼痛科聊天记录
* author：wh
* @param $sub_content
*/
private function setTtChatHistory($sub_content,$username,$hdruserbaseinfo_id,$userbaseinfo_id,$ticket){
//$content = [
// //["role" => "user", "content" => '']
//];
$data = [];
foreach ($sub_content as $item){
//$content = explode('：',$item['content']);
$d = [
'username'=>$username,
//'type'=>empty($content[0])?'':$content[0],
'chat_msg'=>$item['content'],
'ticket'=>$ticket,
'userbaseinfo_id'=>$userbaseinfo_id,
'hdruserbaseinfo_id'=>$hdruserbaseinfo_id,
'type'=>$item['type'],
];
$data[] = $d;
}
Db::table(TabConf::$fa_tt_chathistory)->insertAll($data);
}
/**
* desc：查询报告详情
*
* api/Reporth5/getReportById
* 参数：dataid 报告id
* ticket：用户ticket
* author：wh
*/
function getReportById(){
return Mmodel::catchJson(function (){
$info = Db::table('fa_tt_medical_report')
->where('id',input('dataid'))
->find();
return Tools::set_ok($info);
});
}
/**
* desc：查询报告列表
*
* api/Reporth5/getReportList
* 参数：username
* ticket：用户ticket
*
* author：wh
*/
function getReportList(){
return Mmodel::catchJson(function (){
$info = Db::table('fa_tt_medical_report')
->select();
return Tools::set_ok($info);
});
}
/**
* 修改报告
* api/Reporth5/editReport
* 参数：dataid 报告数据id
name 病人姓名
gender 病人性别： M=男性， F=女性
age 病人年龄
main_complaint 主诉
medical_history 病史
past_history 既往史
allergy_history 过敏史
family_history 家族史
personal_history 个人史
menstrual_marital_history 月经婚育史
diagnosis 诊断
treatment 医嘱
*/
function editReport(){
return Mmodel::catchJson(function (){
//$ticket = input('ticket');
//if(empty($ticket)){
// return Tools::set_fail('ticket必须');
//}
//修改基本信息
$data = [
//'username'=>$hdrdoctorusers['username'],//医生
'name'=>input('name',''),//病人姓名
'gender'=>input('gender',''),//病人性别： M=男性， F=女性
'age'=>input('age',''),//病人年龄
'main_complaint'=>input('main_complaint',''),//主诉
'medical_history'=>input('medical_history',''),//病史
'past_history'=>input('past_history',''),//既往史
'allergy_history'=>input('allergy_history',''),//过敏史
'family_history'=>input('family_history',''),//家族史
'personal_history'=>input('personal_history',''),//个人史
'menstrual_marital_history'=>input('menstrual_marital_history',''),//月经婚育史
'diagnosis'=>input('diagnosis',''),//诊断
'treatment'=>input('treatment',''),//医嘱
];
//修改基本信息
Mmodel::existsUpdateInsert('fa_tt_userbaseinfo',[
//'username'=>input('username',''),
'name'=>input('name',''),
],$data);
//修改报告
$str = <<<EOF
【姓名】：{$data['name']}
【年龄】：{$data['age']}
【性别】：{$data['gender']}
【主诉】：{$data['main_complaint']}
【病史】：{$data['medical_history']}
【既往史】：{$data['past_history']}
【过敏史】：{$data['allergy_history']}
【家族史】：{$data['family_history']}
【个人史】：{$data['personal_history']}
【月经婚育史】：{$data['menstrual_marital_history']}
【诊断】：{$data['diagnosis']}
【医嘱】：{$data['treatment']}
EOF;
$dataid = input('dataid');
if(empty($dataid)){
return Tools::set_fail('dataid必须');
}
Db::table('fa_tt_medical_report')
->where('id',$dataid)
->data(['report_content'=>$str])
->update();
return Tools::set_ok();
});
}
}