462 lines
17 KiB
PHP
462 lines
17 KiB
PHP
<?php
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/*
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* description：
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* author：wh
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* email：
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* createTime：{2024/7/12} {11:29}
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*/
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namespace app\api\controller;
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use app\common\model\TabConf;
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use think\Db;
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use wanghua\general_utility_tools_php\gpt\chat\ChatGPT;
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use wanghua\general_utility_tools_php\Mmodel;
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use wanghua\general_utility_tools_php\tool\Tools;
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use wanghua\general_utility_tools_php\Validate;
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/**
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* 疼痛科-数字人-报告
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* Class Reporttt
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* @package app\api\controller
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*/
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class Reporttt extends BaseHttpApi
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{
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/**
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* desc：疼痛科-数字人-生成听诊报告（同时提交固定问答聊天记录）
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*
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* api/Reporttt/createReport
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* username 用户名
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*
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* name 病人姓名
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gender 病人性别
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age 病人年龄
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edu 教育程度
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career_year 职业及年限
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power 体力要求
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satisfaction 经济满意度
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old_career_year 过往职业及年限
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support 社会支持度
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marriage 婚姻状况
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live 居住情况
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home 家庭关系
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address 地址
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phone 联系方式
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wechat_no 微信号
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ticket 对话票据
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hdrdepartment_id 科室
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* from 来源:num_per=数智人,ty=听译助手,h5=h5网页问诊
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* hdrdepartment 科室名称
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*
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* content 对话内容；格式：
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* $content = [
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["role" => "user", "content" => '医生说：xxxxx'],
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["role" => "user", "content" => '患者说：xxxxx'],
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];
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* author：wh
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*/
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function createReport(){
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//header('Content-Type: text/event-stream');
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//header('Cache-Control: no-cache');
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//header('Connection: keep-alive');
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//header('X-Accel-Buffering: no');
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Tools::log_to_write_txt(['input'=>input()]);
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$report_config = config('ai_num_report_config');
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$h5_login_user_phone = input('h5_login_user_phone');//h5端上传附件登录号码
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//if (empty($h5_login_user_phone)){
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// return json(Tools::set_fail('h5_login_user_phone必须','使用h5端上传附件那个号码'));
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//}
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$question = '';//input('question','');
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$chatobj = new ChatGPT();
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$chatobj->url = $report_config['base_url'];
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$chatobj->model = '';
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$chatobj->apiKey = $report_config['APIKey'];
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$answer_json_arr = [];
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$ticket = input('ticket');
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if(empty($ticket)){
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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！'));
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}
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if(empty(input('from'))){
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return json(Tools::set_fail('from必须'));
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}
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$from = input('from');
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$qa_type = input('qa_type');
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if($from=='h5'){
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$qa_type = 'fix';
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}
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if(empty($qa_type)){
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return json(Tools::set_fail('qa_type问答模式必须，可选项：问答模式:free=自由问答,fix=固定问答'));
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}
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$user = Db::table('fa_hdrdoctorusers')->where('ticket',$ticket)->find();
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if(empty($user)){
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return json(Tools::set_res(531,'医生不存在，请登录'));
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}
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$hdrdepartment_id = input('hdrdepartment_id');
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$config = [
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'stream'=>false,
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'chatId'=>Tools::getMillisecond(),
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];
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//验证参数
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if(empty(input('name'))){
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return json(Tools::set_fail('name必须'));
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}
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if(empty(input('gender'))){
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return json(Tools::set_fail('gender必须'));
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}
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if(empty(input('age'))){
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return json(Tools::set_fail('age必须'));
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}
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if(empty(input('phone'))){
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return json(Tools::set_fail('phone必须'));
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}
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if(!Validate::is_mobile(input('phone'))){
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return json(Tools::set_fail('phone格式错误'));
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}
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//if(empty(input('hdrdepartment_id'))){
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// return json(Tools::set_fail('hdrdepartment_id必须'));
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//}
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$basedata = [
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'name'=>input('name',''),//病人姓名
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'gender'=>input('gender',''),//病人性别
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'age'=>input('age',''),//病人年龄
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'edu'=>input('edu',''),//教育程度
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'career_year'=>input('career_year',''),//职业及年限
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'power'=>input('power',''),//体力要求
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'satisfaction'=>input('satisfaction',''),//经济满意度
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'old_career_year'=>input('old_career_year',''),//过往职业及年限
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'old_career_power'=>input('old_career_power',''),//过往体力要求
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'support'=>input('support',''),//社会支持度
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'marriage'=>input('marriage',''),//婚姻状况
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'live'=>input('live',''),//居住情况
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'home'=>input('home',''),//家庭关系
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'address'=>input('address',''),//地址
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'phone'=>input('phone',''),//联系方式
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'wechat_no'=>input('wechat_no',''),//微信号
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'from'=>$from,//来源
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'ticket'=>$ticket,//对话票据'
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'date'=>date('Y-m-d'),
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'hdrdepartment_id'=>$hdrdepartment_id,//科室
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];
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$contentstr = input('content');//对话记录
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if(empty($contentstr)){
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return json(Tools::set_fail('content必须'));
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}
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$content['name'] = "\n\n".'【姓名】：'.$basedata['name'];
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$content['gender'] = '【性别】：'.$basedata['gender'];
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$content['age'] = '【年龄】：'.$basedata['age'];
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$content['edu'] = '【教育程度】：'.$basedata['edu'];
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$content['career_year'] = '【职业及年限】：'.$basedata['career_year'];
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$content['power'] = '【体力要求】：'.$basedata['power'];
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$content['satisfaction'] = '【经济满意度】：'.$basedata['satisfaction'];
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$content['old_career_year'] = '【过往职业及年限】：'.$basedata['old_career_year'];
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$content['old_career_power'] = '【过往体力要求】：'.$basedata['old_career_power'];
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$content['support'] = '【社会支持度】：'.$basedata['support'];
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$content['marriage'] = '【婚姻状况】：'.$basedata['marriage'];
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$content['live'] = '【居住情况】：'.$basedata['live'];
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$content['home'] = '【家庭关系】：'.$basedata['home'];
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$content['address'] = '【地址】：'.$basedata['address'];
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$content['phone'] = '【联系方式】：'.$basedata['phone'];
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$content['wechat_no'] = '【微信号】：'.$basedata['wechat_no'];
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//
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////设置基本信息
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//$chatobj->setBefore($content);
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$sub_content = json_decode($contentstr,true);
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if(empty($sub_content)){
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return json(Tools::set_fail('没有对话诊断信息'));
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}
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//Tools::log_to_write_txt(['聊天记录content：'=>$sub_content]);
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//$sub_content = array_merge($content,$sub_content);
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$ctn_msg_str = implode('',array_column($sub_content,'content'));
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foreach ($content as $val){
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$ctn_msg_str .= ','.$val;
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}
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$report_ai_content = '';
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//$last_file_report = [];
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//if($h5_login_user_phone){
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//查询最新的附件
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$last_file_report = Db::table(TabConf::$fa_drugs_images_medical_result)
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->where('reportid','eq','')
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->field('id,reportid,ai_result')
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->where('phone',$h5_login_user_phone?$h5_login_user_phone:$basedata['phone'])
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->select();
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foreach ($last_file_report as $val){
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if($report_ai_content){
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$report_ai_content.= ',';
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}
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$report_ai_content .= $val['ai_result']?$val['ai_result']:'';
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}
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//}
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//追加附件
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$ctn_msg_str .= <<<EOF
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【附件】：{$report_ai_content}
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EOF;
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$sub_content_msg = [
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["role" => "user", "content" => $ctn_msg_str]
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];
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//chatGpt设置前置聊天上下文
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$chatobj->setBefore($sub_content_msg);
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//回答
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$chatobj->returnAnswer($question,$config,$answer_json_arr);
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//dump($answer_json_arr);die;
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$res_content = [];
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$data = [];
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Tools::log_to_write_txt(['请求gpt'=>$chatobj->post_msg_body]);
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Tools::log_to_write_txt(['gpt回复'=>$answer_json_arr]);
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//把返回的报告保存起来
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foreach ($answer_json_arr as $josn){
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$item = json_decode($josn,true);
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if(empty($item['choices'])){
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return json(Tools::set_fail('choices is empty',$answer_json_arr));
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}
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$choices = $item['choices'];
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foreach ($choices as $choice){
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$data[] = [
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'username'=>$user['username'],//登录的医生
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'report_content'=>$choice['message']['content'],
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'name'=>$basedata['name'],
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'phone'=>$basedata['phone'],
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];
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$res_content[] = $choice['message']['content'];
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}
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}
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if(empty($data)){
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return json(Tools::set_fail('没有获取到报告'));
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}
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try {
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$medical_report_id = '';
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foreach ($data as $item){
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//只新增不修改
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$userbaseinfo_id = Db::table('fa_tt_userbaseinfo')->insert($basedata);
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//表示用户信息从h5里面查询而来
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if($h5_login_user_phone){//存在表示是通过搜索手机号进入数字人的
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$baseuserinfo = Db::table(TabConf::$fa_ty_userbaseinfo)
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->where('phone',$h5_login_user_phone)
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->order('id desc')
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->find();
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if(empty($baseuserinfo)){
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return json(Tools::set_fail('没有查询到用户信息'));
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}
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// 科室名称
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$basedata['hdrdepartment'] = input('hdrdepartment','');
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////修改
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//Db::table(TabConf::$fa_tt_userbaseinfo)
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// ->where('id',$baseuserinfo['id'])
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// ->data($basedata)
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// ->update();
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$hdruserbaseinfo_id = $baseuserinfo['id'];
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}else{
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//新增统一基本信息
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$basedata['hdrdepartment'] = input('hdrdepartment','');
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$hdruserbaseinfo_id = Db::table(TabConf::$fa_tt_userbaseinfo)->insertGetId($basedata);
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}
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$item['userbaseid'] = $userbaseinfo_id;
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$item['hdruserbaseinfo_id'] = $hdruserbaseinfo_id;//统一病历基本信息ID
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$item['hdrdepartment_id'] = $hdrdepartment_id;
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$item['from'] = $from;//来源:num_per=数智人,ty=听译助手,h5=h5网页问诊
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$item['doctor'] = $user['name'];
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$item['qa_type'] = $qa_type;
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$tmp_data = array_merge($item,$basedata);
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//保存报告
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$medical_report_id = Db::table('fa_tt_medical_report')->insertGetId($tmp_data);
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//日期
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//$item['date'] = date('Y-m-d');
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//保存疼痛科聊天记录【对话记录跟着报告走】
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$this->setTtChatHistory($sub_content,$user['username'],$hdruserbaseinfo_id,$userbaseinfo_id,$ticket,$medical_report_id);
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////统一存档(暂时不用)
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//Db::table(TabConf::$fa_hdrmedical_report)->insert($item);
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}
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//循环修改报告id
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foreach ($last_file_report as $item_info){
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Db::table(TabConf::$fa_drugs_images_medical_result)
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->where('id',$item_info['id'])
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->data(['reportid'=>$medical_report_id])
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->update();
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}
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return json(Tools::set_ok(['base_data'=>$content,'res_content'=>$res_content,'medical_report_id'=>$medical_report_id]));
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}catch (\Exception $e){
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Tools::error_txt_log($e);
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return json(Tools::set_fail('新增报告失败.'.$e->getMessage()));
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}
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}
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/**
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* desc：保存疼痛科聊天记录
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* author：wh
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* @param $sub_content
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*/
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private function setTtChatHistory($sub_content,$username,$hdruserbaseinfo_id,$userbaseinfo_id,$ticket,$reportid){
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//$content = [
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// //["role" => "user", "content" => '']
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//];
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$data = [];
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foreach ($sub_content as $item){
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$content = explode('：',$item['content']);
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$d = [
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'username'=>$username,
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'type'=>empty($content[0])?'':$content[0],
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'chat_msg'=>$item['content'],
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'ticket'=>$ticket,
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'userbaseinfo_id'=>$userbaseinfo_id,
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'hdruserbaseinfo_id'=>$hdruserbaseinfo_id,
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'reportid'=>$reportid,
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];
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$data[] = $d;
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}
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Db::table(TabConf::$fa_tt_chathistory)->insertAll($data);
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}
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/**
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* desc：查询报告详情
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*
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* api/Reporttt/getReportById
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* 参数：dataid 报告id
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* ticket：用户ticket
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* author：wh
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*/
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function getReportById(){
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return Mmodel::catchJson(function (){
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$info = Db::table('fa_tt_medical_report')
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->where('id',input('dataid'))
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->find();
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return Tools::set_ok($info);
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});
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}
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/**
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* desc：查询报告列表
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*
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* api/Reporttt/getReportList
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* 参数：phone
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*
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* author：wh
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*/
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function getReportList(){
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return Mmodel::catchJson(function (){
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$phone = input('phone');
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if(empty( $phone)){
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return Tools::set_fail( 'phone is empty');
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}
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$info = Db::table('fa_tt_medical_report')
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->where('phone',$phone)
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->select();
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foreach ($info as &$item){
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$item['hdruserbaseinfo_id_data'] = Db::table(TabConf::$fa_tt_userbaseinfo)
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->where('id',$item['hdruserbaseinfo_id'])
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->find();
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}
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return Tools::set_ok($info);
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});
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}
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/**
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* 修改报告
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* api/Reporttt/editReport
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* 参数：dataid 报告数据id
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name 病人姓名
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gender 病人性别： M=男性， F=女性
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age 病人年龄
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main_complaint 主诉
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medical_history 病史
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past_history 既往史
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allergy_history 过敏史
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family_history 家族史
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personal_history 个人史
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menstrual_marital_history 月经婚育史
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diagnosis 诊断
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treatment 医嘱
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*/
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// function editReport(){
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// return Mmodel::catchJson(function (){
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// $dataid = input('dataid');
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// if(empty($dataid)){
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// return Tools::set_fail('dataid必须');
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// }
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// //$ticket = input('ticket');
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// //if(empty($ticket)){
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// // return Tools::set_fail('ticket必须');
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// //}
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// //修改基本信息
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// $data = [
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// //'username'=>$user['username'],//医生
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// 'name'=>input('name',''),//病人姓名
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// 'gender'=>input('gender',''),//病人性别： M=男性， F=女性
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// 'age'=>input('age',''),//病人年龄
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// 'main_complaint'=>input('main_complaint',''),//主诉
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// 'medical_history'=>input('medical_history',''),//病史
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// 'past_history'=>input('past_history',''),//既往史
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// 'allergy_history'=>input('allergy_history',''),//过敏史
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// 'family_history'=>input('family_history',''),//家族史
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// 'personal_history'=>input('personal_history',''),//个人史
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// 'menstrual_marital_history'=>input('menstrual_marital_history',''),//月经婚育史
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// 'diagnosis'=>input('diagnosis',''),//诊断
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// 'treatment'=>input('treatment',''),//医嘱
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// ];
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// //查询报告
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// $report = Db::table('fa_tt_medical_report')
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// ->where('id',$dataid)
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// ->find();
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// if(empty($report)){
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// return Tools::set_fail('报告不存在');
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// }
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//
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// //修改基本信息
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// //Mmodel::existsUpdateInsert('fa_tt_userbaseinfo',[
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// // 'id'=>$report['userbaseid'],
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// //],$data);
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//
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// //修改报告
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// $str = <<<EOF
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//【姓名】：{$data['name']}
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//【年龄】：{$data['age']}
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//【性别】：{$data['gender']}
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//【主诉】：{$data['main_complaint']}
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//【病史】：{$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】：{$data['treatment']}
|
||
//EOF;
|
||
//
|
||
//
|
||
//
|
||
// Db::table('fa_tt_medical_report')
|
||
// ->where('id',$dataid)
|
||
// ->data(['report_content'=>$str])
|
||
// ->update();
|
||
//
|
||
// return Tools::set_ok();
|
||
// });
|
||
// }
|
||
} |